Shabnam Peyvandi|Rebecca J. Baer|Anita Moon?Grady|Scott P. Oltman|Christina Chambers|Mary E. Norton|Satish Rajagopal|Kelli K. Ryckman|Laura L. Jelliffe?Pawlowski|Martina A. Steurer
Socioeconomic Mediators of Racial and Ethnic Disparities in Congenital Heart Disease Outcomes: A Population?Based Study in California
UCSF Benioff Children's Hospital|University of California, San Francisco|UCSF Benioff Children's Hospital|University of California, San Francisco|University of California, San Diego|UCSF Benioff Children's Hospital|University of California, San Francisco|UCSF Benioff Children's Hospital|University of California, San Francisco|University of California, San Diego|UCSF Benioff Children's Hospital|University of California, San Francisco|UCSF Benioff Children's Hospital|University of California, San Francisco|University of Iowa|UCSF Benioff Children's Hospital|University of California, San Francisco|UCSF Benioff Children's Hospital|University of California, San Francisco
background racialethnic socioeconomic disparities exist outcomes children congenital heart disease sought determine influence raceethnicity mediating socioeconomic factors 1year outcomes liveborn infants hypoplastic left heart syndrome dextrotransposition great arteries methods results authors performed populationbased cohort study using california office statewide health planning development database liveborn infants without chromosomal anomalies included outcome composite measure mortality unexpected hospital readmissions within first year life defined gt3 hypoplastic left heart syndrome gt1 readmissions dextrotransposition great arteries hispanic ethnicity compared nonhispanic white ethnicity mediation analyses determined percent contribution outcome mediator pathway raceethnicity outcome total 1796 patients comprised cohort n964 hypoplastic left heart syndrome n832 dextrotransposition great arteries 1315 included analysis n477 nonhispanic white n838 hispanic hispanic ethnicity associated poor outcome crude odds ratio 172 95 confidence interval ci 137217 higher maternal education crude odds ratio 05 95 ci 038065 private insurance crude odds ratio 065 95 ci 045071 protective mediation analysis maternal education insurance status explained 332 95 ci 7664 276 95 ci 65631 relationship raceethnicity poor outcome infant characteristics played minimal role conclusions socioeconomic factors explain significant portion association hispanic ethnicity poor outcome neonates critical congenital heart disease findings identify vulnerable populations would benefit resources lessen health disparities