Impact of Remoteness of Residence and Socioeconomic Status on Outcomes Among Children With Heart Disease in Alberta
Authors' conclusion
Age at diagnosis, time to intervention, annual primary care visits, and transplant-free all-cause survival were not impacted by RoR or SES in children with heart disease. Greater RoR and SES, however, were associated with fewer annual cardiology visits and increased annual emergency room visits
Study context
- Population
- Children with CHD or acquired heart disease (AHD) born 2005–2017 in Alberta, Canada94% CHD, 6% AHD
- Participants
- 12,542 children
- Exposure
- Remoteness of residence and socioeconomic status (SES) categories
- Outcome
- Age at diagnosis, time from diagnosis to intervention, annual primary care, cardiologist and ED visits, and survival
Main finding
As reported in the abstract
Annual cardiologist visits
Each group vs <60 minutesRelative risk (95% CI)P value
60-180 minutesCHD
0.83(0.73–0.95)
P < 0.0001>180 minutesCHD
0.77(0.67–0.88)
P < 0.000160-180 minutesAHD
0.63(0.39–1.00)
P = 0.02>180 minutesAHD
0.53(0.34–0.84)
P = 0.02- Increased annual ED visits with further remoteness of residence (RoR) (CHD and AHD)
- P < 0.001
- Increased annual ED visits with lower SES (CHD only)
- P < 0.001
Observational data: associations, not effects.
Original publication
Impact of Remoteness of Residence and Socioeconomic Status on Outcomes Among Children With Heart Disease in Alberta. JACC Adv. Published 7 November 2024. doi:10.
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