Key result
Adults with CHD undergo outpatient surgery at specialized CHD centers ~54% less often than children.
Why the study?
Are adults with congenital heart disease less likely than children to receive outpatient surgical care at specialized CHD centers?
Population
Adult and pediatric patients with congenital heart disease undergoing outpatient surgery, identified from…
Design
Cross-sectional
Authors
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Highlights a major gap in guideline-directed surgical care for adults with congenital heart disease.
Cross-Sectional (n=21,801)
Yes
Are adults with congenital heart disease less likely than children to receive outpatient surgical care at specialized CHD centers?
Absolute Event Rate: 26% vs 56.9%
p-value: p=<0.0001
Unlike children, the majority of adults with congenital heart disease do not undergo outpatient surgery at specialized centers, highlighting a failure to achieve guideline-recommended regionalized care.
Maxwell et al. (2014) conducted a cross-sectional in Congenital Heart Disease (n=21,801). Adult status (age ≥ 18 years) vs. Pediatric status (age < 18 years) was evaluated on Proportion of patients having surgery at a specialized CHD center (p=<0.0001). Adults with congenital heart disease were significantly less likely to undergo outpatient surgery at a specialized CHD center compared to children (26.0% vs 56.9%, p<0.0001).
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