Impact of Social Determinants of Health on Outcomes for Patients with Adult Congenital Heart Disease

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Suhas Babu, Paulamy Ganguly, Nandan Shettigar, C. Huie Lin
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Abstract

Purpose of Review

The study of adults with congenital heart disease (ACHD) is a rapidly growing field; however, more research is needed on the disparities affecting outcomes. With advances in medicine, a high percentage of patients with congenital heart disease (CHD) are advancing to adulthood, leading to an increase in the number of ACHD. This creates a pressing need to evaluate the factors, specifically the social determinants of health (SDOH) contributing to the outcomes for ACHD.

Recent Findings

A myriad of factors, including, but not limited to, race, education, and socioeconomic status, have been shown to affect ACHD outcomes. Existing data from hospitalizations, mortality and morbidity, advanced care planning, patient and physician awareness, financial factors, and education alongside race and socioeconomic status present differences in ACHD outcomes.

Summary

With SDOH having a significant impact on ACHD subspecialty care outcomes, ACHD centers need to be constantly adapting and innovating, incorporating SDOH into patient management, and providing additional healthcare resources to manage the care of ACHD.

健康的社会决定因素对成人先天性心脏病患者预后的影响
综述目的对先天性心脏病(ACHD)成人患者的研究是一个快速发展的领域;然而,还需要对影响预后的差异进行更多的研究。随着医学的进步,很大一部分先天性心脏病(CHD)患者正在步入成年,从而导致先天性心脏病患者人数的增加。最近的研究结果表明,包括但不限于种族、教育和社会经济地位在内的众多因素都会影响先天性心脏病的治疗效果。现有的住院、死亡率和发病率、高级护理计划、患者和医生意识、经济因素、教育以及种族和社会经济地位等方面的数据表明,ACHD 的治疗效果存在差异。摘要由于 SDOH 对 ACHD 亚专科治疗效果有重大影响,ACHD 中心需要不断调整和创新,将 SDOH 纳入患者管理,并提供更多的医疗资源来管理 ACHD 的治疗。
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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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