Evidence map›Paper›PMID 30366772›Full record

ArticleThe Journal of pediatrics2019

Social Risk Factors Impact Hospital Readmission and Outpatient Appointment Adherence for Children with Congenital Heart Disease.

Abigail C Demianczyk, Shashank P Behere, Deepika Thacker, Maia Noeder, Emily A Delaplane, Christian Pizarro, Erica Sood

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05926661 (Support Tool for Families of High-Risk Children With Heart Disease During Hospital Admission and After Discharge), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05926661 nawithdrawnnot on this mapstarted 2023, after this paper: background citation

Support Tool for Families of High-Risk Children With Heart Disease During Hospital Admission and After Discharge

TypeinterventionalSponsorNemours Children's ClinicRan2023 to 2024Enrolled0ConditionsHeart Disease CongenitalArmsNCC Support Toolkit
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  17. Epidemiology of Birth Defects in Eastern China and the Associated Risk Factors.Medical science monitor : international medical journal of experimental and clinical research · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Abigail C DemianczykDivision of Behavioral Health, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE.
Shashank P BehereNemours Cardiac Center, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
Deepika ThackerNemours Cardiac Center, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
Maia NoederDivision of Behavioral Health, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
Emily A DelaplaneDepartment of Patient and Family Services, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE.
Christian PizarroNemours Cardiac Center, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
Erica SoodDivision of Behavioral Health, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE; Nemours Cardiac Center, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

objectiveTo examine the relations of individual and cumulative social risk factors to hospitalization outcomes and adherence to outpatient cardiology appointments within the first 2 years of life for congenital heart disease survivors. STUDY

designData were extracted for 219 patients who underwent infant cardiac surgery with cardiopulmonary bypass. Cumulative social risk was dichotomized into high social risk (≥2 risk factors; n = 103) versus low social risk (≤1 risk factor; n = 116). The risk of morbidity by procedure was assigned from 1 to 5 (Society of Thoracic Surgeons and European Association for Cardio-Thoracic Surgery Morbidity Scores and Categories). Two-way ANOVAs examined the effects of social risk and morbidity risk on length of first surgical hospitalization, number of readmissions and readmission days, subsequent cardiac surgical interventions, and adherence to outpatient cardiology appointments.

resultsAn interaction between social risk and morbidity risk was identified for number of readmission days, F(4, 209) = 3.07, P = .02, η

conclusionsCumulative social risk impacts readmission days for patients with congenital heart disease with a low risk of morbidity by procedure. Social risk assessment can identify families who may benefit from social/behavioral interventions to optimize discharge readiness, congenital heart disease home management, and long-term outcomes.

Indexed as

Socioeconomic FactorsAnalysis of VarianceChild, PreschoolCost of IllnessFamilyFemaleHeart Defects, CongenitalHumansInfantInfant, NewbornLength of StayMalePatient CompliancePatient ReadmissionQuality of LifeRetrospective Studiescardiac surgerysocial determinants of health

Identifiers

PMID30366772
PMCPMC6527093

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.