Mohnasky Michael, Brondon Jennifer, Lee Sang Yub, Kim Kyung Rae
School of Medicine, University of North Carolina, Chapel Hill, NC, United States.
Department of Pediatrics, University of North Carolina, Chapel Hill, NC, United States.
Front Pediatr. 2023 Feb 16;11:1078611. doi: 10.3389/fped.2023.1078611. eCollection 2023.
Vascular malformations, the abnormal development of blood vessels, are a rare set of congenital anomalies. The sociodemographic factors associated with vascular malformations in pediatric patients are poorly understood. This study examined sociodemographic factors of 352 patients presenting to a single vascular anomaly center from July 2019 to September 2022. Characteristics such as race, ethnicity, sex, age at presentation, degree of urbanization, and insurance status were recorded. This data was analyzed by comparing the different types of vascular malformations, including arteriovenous malformation, capillary malformation, venous malformation (VM), lymphatic malformation (LM), lymphedema, and overgrowth syndrome. Patients were primarily white, not Hispanic or Latino, female, had private health insurance, and were from the most urban setting. No differences in sociodemographic factors were found among the different vascular malformations except patients with VM presented at a later age than patients with LM or overgrowth syndrome. This study provides novel insight into the sociodemographic factors of pediatric patients presenting with vascular malformations and indicates a need for their improved recognition for the timely initiation of treatment.
血管畸形是血管的异常发育，是一组罕见的先天性异常。小儿患者中与血管畸形相关的社会人口统计学因素了解甚少。本研究调查了2019年7月至2022年9月期间到单一血管异常中心就诊的352例患者的社会人口统计学因素。记录了种族、族裔、性别、就诊年龄、城市化程度和保险状况等特征。通过比较不同类型的血管畸形，包括动静脉畸形、毛细血管畸形、静脉畸形（VM）、淋巴管畸形（LM）、淋巴水肿和过度生长综合征，对这些数据进行了分析。患者主要为非西班牙裔或拉丁裔白人女性，拥有私人医疗保险，且来自城市化程度最高的地区。除VM患者的就诊年龄比LM或过度生长综合征患者晚外，不同血管畸形之间在社会人口统计学因素上未发现差异。本研究为小儿血管畸形患者的社会人口统计学因素提供了新的见解，并表明需要提高对其的认识以便及时开始治疗。
