Changes in Hospitalization Patterns Among Patients With Congenital Heart Disease During the Transition From Adolescence to Adulthood

Changes in Hospitalization Patterns Among Patients With Congenital Heart Disease During the Transition From Adolescence to Adulthood Michelle Z. Gurvitz, Moira Inkelas, Maggie Lee, Karen Stout, Jose Escarce, Ruey-Kang Chang Few population-wide data exist on utilization of hospital services among ado...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2007-02, Vol.49 (8), p.875-882
Main Authors: Gurvitz, Michelle Z., MD, MS, Inkelas, Moira, PhD, Lee, Maggie, MPH, Stout, Karen, MD, Escarce, Jose, MD, PhD, Chang, Ruey-Kang, MD, MPH
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Age Distribution
Age Factors
Biological and medical sciences
California - epidemiology
Cardiology
Cardiology. Vascular system
Cardiovascular
Cardiovascular disease
Child
Child development
Confidence intervals
Demographics
Emergency Service, Hospital - statistics & numerical data
Ethnicity
Female
Gender
Health care access
Health maintenance organizations
Heart
Heart Defects, Congenital - classification
Heart Defects, Congenital - epidemiology
Hispanic people
HMOs
Hospitalization
Hospitalization - statistics & numerical data
Hospitals
Humans
Hypothesis testing
Insurance, Health - statistics & numerical data
Internal Medicine
Logistic Models
Male
Medical sciences
Multivariate Analysis
Population
Risk Factors
Severity of Illness Index
Uninsured people
Variables
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Summary:Changes in Hospitalization Patterns Among Patients With Congenital Heart Disease During the Transition From Adolescence to Adulthood Michelle Z. Gurvitz, Moira Inkelas, Maggie Lee, Karen Stout, Jose Escarce, Ruey-Kang Chang Few population-wide data exist on utilization of hospital services among adolescent and adult patients with congenital heart disease (CHD). Hospital discharge data for patients ages 12 to 44 years were analyzed and comparisons were made between those older and younger than 21 years. The younger patients were admitted to a smaller number of hospitals and were less likely to be admitted via the emergency department (ED) than those over age 21. Older patients and those without private insurance were more likely to be admitted via the ED. These findings suggest that access to specialized care may be lacking for patients with CHD during transition to adulthood and require further investigation.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2006.09.051