Abstract | OBJECTIVE: To investigate the existence of racial/ethnic disparity in mortality risk among children with individual congenital heart defects and identify any other risk factors. STUDY DESIGN: The study cohort, comprising children born between 1983 and 2006 with a selected congenital heart defect, was matched to death records to ascertain vital status. The birth and maternal risk factors were obtained from birth certificates. RESULTS: After adjusting for covariates using a multivariate regression model, the risk of mortality was significantly higher in children of non-Hispanic black mothers with transposition of the great arteries (hazard ratio (HR), 1.31; 95% CI, 1.07-1.60), tetralogy of Fallot (HR, 1.34; 95% CI, 1.06-1.69), and coarctation of the aorta (HR, 1.40; 95% CI, 1.10-1.79), compared with children of non-Hispanic white mothers. Time trends analysis examining the mortality risk by survival age and birth period found a significant decrease in 5-year mortality risk from 1983 to 2003 births, with a nearly 50% reduction for hypoplastic left heart syndrome and coarctation of the aorta across 3 maternal racial/ethnic groups examined. CONCLUSION: Our findings may help identify at-risk populations and mortality risk factors and thereby contribute to improved survival and quality of life for these children across the lifespan.
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Authors | Ying Wang, Gang Liu, Charlotte M Druschel, Russell S Kirby |
Journal | The Journal of pediatrics
(J Pediatr)
Vol. 163
Issue 5
Pg. 1437-42.e1-2
(Nov 2013)
ISSN: 1097-6833 [Electronic] United States |
PMID | 23932315
(Publication Type: Journal Article)
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Copyright | Copyright © 2013 Mosby, Inc. All rights reserved. |
Topics |
- Adolescent
- Adult
- Black or African American
- Aortic Coarctation
(ethnology)
- Child
- Child, Preschool
- Cohort Studies
- Disease Susceptibility
- Female
- Heart Defects, Congenital
(ethnology, mortality)
- Hispanic or Latino
- Humans
- Infant
- Infant, Newborn
- Male
- Mothers
- Multivariate Analysis
- Proportional Hazards Models
- Risk Factors
- Transposition of Great Vessels
(ethnology)
- Treatment Outcome
- White People
- Young Adult
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