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Patient factors and geographic barriers influencing excess time between paediatric and adult CHD care.
Patzer, Jessica; Yaskina, Maryna; Chappell, Alyssa; Patton, David; Alvarez, Nanette; Dicke, Frank; Mackie, Andrew S.
Afiliación
  • Patzer J; Section of Cardiology, Department of Internal Medicine, University of Calgary, Calgary, AB, Canada.
  • Yaskina M; Women and Children's Health Research Institute, University of Alberta, Edmonton, AB, Canada.
  • Chappell A; Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
  • Patton D; Department of Pediatrics, University of Calgary, Calgary, AB, Canada.
  • Alvarez N; Section of Cardiology, Department of Internal Medicine, University of Calgary, Calgary, AB, Canada.
  • Dicke F; Department of Pediatrics, University of Calgary, Calgary, AB, Canada.
  • Mackie AS; Women and Children's Health Research Institute, University of Alberta, Edmonton, AB, Canada.
Cardiol Young ; : 1-8, 2023 Dec 27.
Article en En | MEDLINE | ID: mdl-38149823
ABSTRACT

INTRODUCTION:

Over 90% of children with CHD survive into adulthood and require lifelong cardiology care. Delays in care predispose patients to cardiac complications. We sought to determine the time interval to accessing adult CHD care beyond what was recommended by the referring paediatric cardiologist (excess time) and determine risk factors for prolonged excess time. MATERIALS AND

METHODS:

Retrospective cohort study including all patients in the province of Alberta, Canada, age 16-18 years at their last paediatric cardiology visit, with moderate or complex lesions. Excess time between paediatric and adult care was defined as the interval (months) between the final paediatric visit and the first adult visit, minus the recommended interval between these appointments. Patients whose first adult CHD appointment occurred earlier than the recommended interval were assigned an excess time of zero.

RESULTS:

We included 286 patients (66% male, mean age 17.6 years). Mean excess time was 7.9 ± 15.9 months. Twenty-nine (10%) had an excess time > 24 months. Not having a pacemaker (p = 0.03) and not needing cardiac medications at transfer (p = 0.02) were risk factors for excess time >3 months. Excess time was not influenced by CHD complexity.

DISCUSSION:

The mean delay to first adult CHD appointment was almost 8 months longer than recommended by referring paediatric cardiologists. Not having a pacemaker and not needing cardiac medication(s) were risk factors for excess time > 3 months. Greater outpatient resources are required to accommodate the growing number of adult CHD survivors.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cardiol Young Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cardiol Young Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido