Evidence map›Paper›PMID 40632420›Full record

ArticleMaternal and child health journal2025

Assessing the Impact of Social Factors on Survival Among Infants Born with Transposition of the Great Arteries, Tetralogy of Fallot, and Diaphragmatic Hernia in Texas, 2011-2019.

Dayana Betancourt, Charles Shumate, Mark A Canfield, Alva Ferdinand, Robin Page, Theresa Morris, Susan Ayres, Samiran Sinha

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In one paragraph

Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Dayana BetancourtBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, 1100 W. 49th St, T-707, MC1964, Austin, TX, 78756, USA. Dayana.betancourt@dshs.texas.gov.ORCID http://orcid.org/0000-0001-9277-6831
Charles ShumateBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, 1100 W. 49th St, T-707, MC1964, Austin, TX, 78756, USA.ORCID http://orcid.org/0000-0003-2884-2835
Mark A CanfieldUniversity of Texas Health Science Center at Houston, School of Public Health, Austin, TX, USA.
Alva FerdinandTexas A&M University, College Station, TX, USA.
Robin PageTexas A&M University, College Station, TX, USA.
Theresa MorrisTexas A&M University, College Station, TX, USA.
Susan AyresTexas A&M University, College Station, TX, USA.
Samiran SinhaDepartment of Statistics, Texas A&M University, College Station, TX, USA.

Funding

Maternal and Child Health Bureau Title V Block Grant, Texas Department of State Health Services Maternal and Child Health Bureau Title V Block Grant, Texas Department of State Health ServicesTexas A&M University's X-Grants (No. 290414-00001).
6 · The paper itself

Abstract

introductionSocial factors impact survival for infants with birth defects. This analysis describes the impact of social factors on one-year survival for infants with congenital diaphragmatic hernia (CDH), transposition of the great arteries (TGA), and tetralogy of Fallot (TOF).

methodsSurvival estimates were generated using the Kaplan-Meier method and the log-rank test with 0.05 significance stratified by social factors for infants born 2011-2019 with CDH (N = 942), TGA (N = 1,102), or TOF (N = 1,545). Crude hazard ratios (HR) and adjusted hazard ratios (AHR) with 95% confidence intervals (CI) were calculated for infant death using the Cox proportional hazards models.

resultsOne-year survival was 88.7% for TOF, 88.0% for TGA, and 72.7% for CDH. Infants with CDH whose mother resided along the Texas-Mexico border had an increased risk of death compared to non-border residents (HR = 1.68, p =.003). Lower maternal education attainment was associated with increased risk of death for infants with TGA (HR = 1.75, p =.002) or TOF (HR = 1.54, p =.005) compared to infants whose mother had more than a high school education. Maternal Hispanic ethnicity increased the risk of death for infants with TGA (HR = 1.75, p =.005) or TOF (HR = 1.74, p =.002) compared to NH White infants. DISCUSSION: Hispanic maternal ethnicity, lower maternal educational attainment, and residence along the Texas-Mexico border negatively impact infant one-year survival.

Indexed as

Hernias, Diaphragmatic, CongenitalTetralogy of FallotTransposition of Great VesselsAdultFemaleHumansInfantInfant, NewbornKaplan-Meier EstimateMaleProportional Hazards ModelsSocioeconomic FactorsSurvival AnalysisTexasDiaphragmatic herniaSurvivalTetralogy of FallotTransposition of the great vessels

Identifiers

PMID40632420

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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.