Distance from home to birth hospital, transfer, and mortality in neonates with hypoplastic left heart syndrome in California.
Distance from home to birth hospital, transfer, and mortality in neonates with hypoplastic left heart syndrome in California.
复制标题
DOI：
10.1002/bdr2.2020
复制
发表时间：
2022-07-15
影响因子：
2.1
通讯作者：
Carmichael, Suzan L.
中科院分区：
文献类型：
--
作者：
Purkey, Neha J.;Ma, Chen;Lee, Henry C.;Hintz, Susan R.;Shaw, Gary M.;McElhinney, Doff B.;Carmichael, Suzan L.
关键词：
Prior studies report a lower risk of mortality among neonates with hypoplastic left heart syndrome (HLHS) who are born at a cardiac surgical center, but many neonates with HLHS are born elsewhere and transferred for repair. We investigated the associations between the distance from maternal home to birth hospital, the need for transfer after birth, sociodemographic factors and mortality in infants with HLHS in California from 2006 to 2011. We used linked data from two statewide databases to identify neonates for this study. Three groups were included in the analysis: “lived close/not transferred,” “lived close/transferred,” and “lived far/not transferred.” We defined “lived close” vs. “lived far” as 11 miles, the median distance from maternal residence to birth hospital. Log-binomial regression models were used to identify the association between sociodemographic variables, distance to birth hospital and transfer. Cox proportional hazards models were used to identify the association between mortality and distance to birth hospital and transfer. Models were adjusted for sociodemographic variables. Infants in the lived close/not transferred and the lived close/transferred groups (vs. the lived far/not transferred group) were more likely to live in census tracts above the 75th percentile for poverty with relative risks 1.94 (95% confidence interval (CI) 1.41–2.68) and 1.21 (1.05–1.40), respectively. Neonatal mortality was higher among the lived close/not transferred group compared to the lived far/not transferred group (hazard ratio 1.77, 95% CI 1.17–2.67). Infants born to mothers experiencing poverty were more likely to be born close to home. Infants with HLHS who were born close to home and not transferred to a cardiac center had a higher risk of neonatal mortality than infants who were delivered far from home and not transferred. Future studies should identify the barriers to delivery at a cardiac center for mothers experiencing poverty.
登录
查看更多内容
影响因子：
6
作者：
Tweddell, James S.;Sleeper, Lynn A.;Ohye, Richard G.;Williams, Ismee A.;Mahony, Lynn;Pizarro, Christian;Pemberton, Victoria L.;Frommelt, Peter C.;Bradley, Scott M.;Cnota, James F.;Hirsch, Jennifer;Kirshbom, Paul M.;Li, Jennifer S.;Pike, Nancy;Puchalski, Michael;Ravishankar, Chitra;Jacobs, Jeffrey P.;Laussen, Peter C.;McCrindle, Brian W.
通讯作者：
McCrindle, Brian W.
影响因子：
12.7
作者：
Kucik JE;Nembhard WN;Donohue P;Devine O;Wang Y;Minkovitz CS;Burke T
通讯作者：
Burke T
影响因子：
8
作者：
Bennett, Tellen D.;Klein, Matthew B.;Rivara, Frederick P.
通讯作者：
Rivara, Frederick P.
影响因子：
1.6
作者：
Egbe, Alexander;Uppu, Santosh;Srivastava, Shubhika
通讯作者：
Srivastava, Shubhika
影响因子：
4.6
作者：
Jacobs, Jeffrey P.;O'Brien, Sean M.;Quintessenza, James A.
通讯作者：
Quintessenza, James A.