| Autor: |
J.D. Serfas, Toi Spates, Alfred D’Ottavio, Tracy Spears, Elizabeth Ciociola, Karen Chiswell, Linda Davidson-Ray, Grace Ryan, Nina Forestieri, Richard A. Krasuski, Alex R. Kemper, Timothy M. Hoffman, Michael J. Walsh, Charlie J. Sang, Karl F. Welke, Jennifer S. Li |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
World journal for pediatriccongenital heart surgery. 13(6) |
| ISSN: |
2150-136X |
| Popis: |
Background The AHA/ACC Adult Congenital Heart Disease guidelines recommend that most adults with congenital heart disease (CHD) follow-up with CHD cardiologists every 1 to 2 years because longer gaps in care are associated with adverse outcomes. This study aimed to determine the proportion of patients in North Carolina who did not have recommended follow-up and to explore predictors of loss to follow-up. Methods Patients ages ≥18 years with a healthcare encounter from 2008 to 2013 in a statewide North Carolina database with an ICD-9 code for CHD were assessed. The proportion with cardiology follow-up within 24 months following index encounter was assessed with Kaplan-Meier estimates. Cox regression was utilized to identify demographic factors associated with differences in follow-up. Results 2822 patients were identified. Median age was 35 years; 55% were female. 70% were white, 22% black, and 3% Hispanic; 36% had severe CHD. The proportion with 2-year cardiology follow-up was 61%. Those with severe CHD were more likely to have timely follow-up than those with less severe CHD (72% vs 55%, P Conclusion 39% of adults with CHD in North Carolina are not meeting AHA/ACC recommendations for follow-up. Younger and minority patients and those with non-severe CHD were particularly vulnerable to inadequate follow-up; targeted efforts to retain these patients in care may be helpful. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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