Congenital heart diseaseCohort study
Chronic Medication Burden After Cardiac Surgery for Pediatric Medicaid Beneficiaries
- Retrospective cohort study
Authors' conclusion
Children who undergo cardiac surgery experience high medication burden that persists throughout childhood.
Study context
- Population
- New York State pediatric Medicaid enrollees age <18 years, 2006–2019
- Exposure
- Children who underwent cardiac surgery vs general pediatric population
- Cardiac enrolleesn = 5,459
- Noncardiac enrolleesn = 4.5 millionreference
- Outcome
- Total chronic medications per person-year, enrollees per 100 person-years using ≥1 and ≥3 medications, and medication expenditures per person-year
Main finding
As reported in the abstract
- Cardiac enrollees using ≥1 chronic medication: more than 4 in 10, vs approximately 1 in 10 noncardiac enrollees
- Medication expenditures per person-year 10 times higher for cardiac vs noncardiac enrollees
Observational data: associations, not effects.
Further findings
Chronic medication use among cardiac enrollees, by characteristics
- Disease severity associated with chronic medication use; use highest among infants; nearly one-half of adolescents used ≥1 chronic medication
Original publication
Chronic Medication Burden After Cardiac Surgery for Pediatric Medicaid Beneficiaries. J Am Coll Cardiol. Published 26 September 2023. doi:10.1016/j.jacc.2023.06.046
Summarised from the published abstract; every number is checked against it