Document Detail


Insurance and education determine survival in infantile coarctation of the aorta.
MedLine Citation:
PMID:  11057056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Health outcomes are determined by case severity, physician decisions, and patient variables. In a population-based study between 1981 and 1989, 103 cases of infant coarctation of the aorta were diagnosed before one year of age. The goal of this study was to determine whether patient race, gender, income, and insurance status had effects on outcome of coarctation of the aorta that were distinct from the effect of case severity. Survival of infants with coarctation of the aorta, a common congenital cardiovascular malformation, is associated with greater maternal education and with having any health insurance but not with measures of severity. Infants without health insurance are 12.8 times more likely to die than infants with any health insurance. Fifty-five percent of all deaths in infant coarctation occur prior to surgical treatment. One-third of deaths occur without diagnosis. Outcome measures require knowledge of the entire population and of insurance status to inform policy.
Authors:
K S Kuehl; J M Baffa; G A Chase
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of health care for the poor and underserved     Volume:  11     ISSN:  1049-2089     ISO Abbreviation:  J Health Care Poor Underserved     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-11-20     Completed Date:  2000-11-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9103800     Medline TA:  J Health Care Poor Underserved     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  400-11     Citation Subset:  IM    
Affiliation:
George Washington University School of Medicine, Washington, D.C., USA.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Aortic Coarctation / diagnosis,  economics,  mortality*,  therapy*
Community Health Planning
District of Columbia / epidemiology
Educational Status
Female
Humans
Income / statistics & numerical data*
Infant
Infant, Newborn
Insurance Coverage / statistics & numerical data
Insurance, Health / statistics & numerical data*
Male
Maryland / epidemiology
Mothers / education*
Population Surveillance
Severity of Illness Index
Socioeconomic Factors
Survival Analysis
Virginia / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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