ArticleJournal of the American Heart Association2025
Foster Care Status as an Understudied Social Driver of Health Outcomes for Children Needing Cardiac Surgery.
Article in Journal of the American Heart Association, 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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10 authors.
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Abstract
backgroundChildren and youth in foster care (CYFC) are known to have greater health care needs than children not in foster care; however, little is known about the outcomes among those with heart disease.
methodsThis single-center, retrospective study included patients (<18 years) who underwent cardiac surgery between 2017 and 2022. CYFC were identified using institutional medical records. Demographics, clinical characteristics, and outcomes were compared with non-CYFC. Generalized linear models assessed associations with long-term mortality, readmissions, and cumulative hospital days, adjusting for clinical factors and follow-up duration. Child Opportunity Index, payer, and race were separately added to models. This cohort was also identified in the Pediatric Health Information System to calculate
resultsOf 4431 patients post-cardiac surgery, 67 (1.5%) were CYFC. Compared with non-CYFC, CYFC had lower Child Opportunity Index scores (median 61 versus 72,
conclusionsCYFC with heart disease have adverse long-term outcomes and greater hospital resource use. Improved capture of foster care status in administrative data is needed to guide future studies and reduce disparities.
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