Impact of Socioeconomic Status and Residence Distance on Infant Heart Disease Outcomes in Canada

Impact of Socioeconomic Status and Residence Distance on Infant Heart Disease Outcomes in Canada

Background Socioeconomic status (SES) impacts clinical outcomes associated with severe congenital heart disease (sCHD). We examined the impact of SES and remoteness of residence (RoR) on congenital heart disease (CHD) outcomes in Canada, a jurisdiction with universal health insurance. Methods and Re...

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Veröffentlicht in:Journal of the American Heart Association 2022-09, Vol.11 (18), p.e026627-e026627
Hauptverfasser: Olugbuyi, Oluwayomi, Smith, Christopher, Kaul, Padma, Dover, Douglas C, Mackie, Andrew S, Islam, Sunjidatul, Eckersley, Luke, Hornberger, Lisa K
Format: Artikel
Sprache:eng
Schlagworte:
Canada - epidemiology
clinical outcomes
congenital heart disease
Female
Heart Defects, Congenital
Humans
Infant
Infant, Newborn
population
Premature Birth
remoteness of residence
Residence Characteristics
Social Class
socioeconomic status
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Zusammenfassung:Background Socioeconomic status (SES) impacts clinical outcomes associated with severe congenital heart disease (sCHD). We examined the impact of SES and remoteness of residence (RoR) on congenital heart disease (CHD) outcomes in Canada, a jurisdiction with universal health insurance. Methods and Results All infants born in Canada (excluding Quebec) from 2008 to 2018 and hospitalized with CHD requiring intervention in the first year were identified. Neighborhood level SES income quintiles were calculated, and RoR was categorized as residing 300 km from the closest of 7 cardiac surgical programs. In-hospital mortality at 300 km had a higher risk of mortality relative to those living
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.122.026627