Abstract
Low socioeconomic status is associated with increased mortality for patients with cardiovascular disease; however, the effect of family socioeconomic status on the prognosis of children with congenital heart disease remains unclear, particularly in low-income and middle-income countries. We aimed to examine the association between family socioeconomic status and postoperative outcomes for paediatric patients with complex congenital heart disease (CCHD). In this observational cohort study, we enrolled children (aged <7 years) who had CCHD surgery at Fuwai Hospital (Beijing, China) between May 1, 2012, and Dec 31, 2015. Patients who were discharged alive were followed up for up to 60 months, until May 4, 2017, for all-cause mortality and unplanned readmission events. Baseline family socioeconomic status was established using a composite of household income in the past year, and occupation and education level of each parent in the family. Cox proportional hazards regression was used to evaluate the relationship between socioeconomic status and prognosis. Of 2555 patients (median age at operation 0·88 years, IQR 0·56-1·92) enrolled, 2485 (97%) were discharged alive and were assessed at a median follow-up of 32·1 months (IQR 19·6-44...Continue Reading
Citations
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