000			03036nam a22003617a 4500
008			240424s20242024 xxu||||| |||| 00| 0 eng d
022			_a2196-8837
024			_a10.1007/s40615-024-01950-0 [pii]
040			_aOvid MEDLINE(R)
099			_a38416292
245			_aRacial Disparities in Outcomes of Delivery and Cardiac Complications Among Pregnant Women with Congenital Heart Disease.
251			_aJournal of Racial & Ethnic Health Disparities. 2024 Feb 28
252			_aJ Racial Ethn Health Disparities. 2024 Feb 28
253			_aJournal of racial and ethnic health disparities
260			_c2024
260			_fFY2024
260			_p2024 Feb 28
265			_saheadofprint
265			_tPublisher
266			_d2024-04-24
520			_aAdvances in cardiology have led to improved survival among patients with congenital heart disease (CHD). Racial disparities in cardiovascular and maternal outcomes are well known and are likely to be more profound among pregnant women with CHD. Using the 2001 to 2018 National Inpatient Sample, we identified all hospitalizations for delivery among women >= 18 years of age with CHD. Unadjusted and adjusted between-race differences in adverse maternal cardiovascular, obstetric, and fetal events were assessed using logistic regression models. During the study period, we identified 52,711 hospitalizations for delivery among women with concomitant CHD. Of these, 66%, 11%, and 16% were White, Black, and Hispanic, respectively. Obstetric complications and fetal adverse events were higher among Blacks compared to Whites and Hispanics (44% vs. 33% vs. 37%, p < .001; 36% vs. 28% vs. 30%, p < .001), respectively. No between-race differences were observed in overall cardiovascular adverse events (27% vs. 24% vs. 23%, p < .21). However, heart failure was significantly higher among Black women (3.6% vs. 1.7% vs. 2.2%, p = 0.001). While a lower income quartile was associated with higher rates of adverse outcomes, adjustment for income did not attenuate the adverse impact of race. Black females with CHD diagnoses were more likely to experience adverse obstetric, fetal events, and heart failure compared to White and Hispanic women irrespective of their income status. Further research is needed to identify causes and devise interventions to mitigate racial disparities in the care of pregnant women with CHD. Copyright © 2024. The Author(s).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
650			_zAutomated
651			_aMedStar Washington Hospital Center
656			_aAdvanced Cardiac Catheterization Research Fellowship
657			_aJournal Article
700			_aAbusnina, Waiel _bMWHC _cAdvanced Cardiac Catheterization Research Fellowship _dMBBCh
790			_aPetersen J, Abusnina W, Beesabathina S, Desu SS, Walters RW, Alla VM
856			_uhttps://dx.doi.org/10.1007/s40615-024-01950-0
858			_yAlla, Venkata Mahesh _uhttp://orcid.org/0000-0002-9196-7238 _zhttp://orcid.org/0000-0002-9196-7238
942			_cART _dArticle
999			_c14091 _d14091