Sherchan Juliana S, Oliver Christine, Krill Alexandra, Chaves Alicia H
School of Medicine, University of Maryland, Baltimore, MD, USA.
Department of Pediatric Cardiology, University of Maryland Medical Center, Baltimore, MD, USA.
Pediatr Cardiol. 2025 Mar 19. doi: 10.1007/s00246-025-03827-3.
Infants with congenital heart disease are often discharged home with tube feeding after undergoing cardiac surgery. Clinical factors have been shown to impact tube feeding duration after cardiac surgery, but there is less information about how socioeconomic factors impact tube feeding duration. This retrospective cohort study was conducted among infants who underwent congenital heart disease surgery within 60 days of birth and were discharged from the hospital with tube feeding from 2016 to 2023 (N = 102). Tube feeding duration, neighborhood socioeconomic status (SES), self-reported race and ethnicity, and insurance type were collected. Neighborhood SES was calculated based on the previously published method by Diez-Roux and using the Childhood Opportunity Index. The median total tube feeding duration was 490.5 days, with 60.8% infants requiring tube feeding for greater than 1 year. Compared to other racial and ethnic groups, Hispanic/Latino patients had the highest median duration of tube feeding in days (1065). Longer length of stay, Hispanic/Latino ethnicity, and lower neighborhood SES score (ORs: 1.023-7.773) were associated with increased odds of needing a feeding tube for greater than 1 year. Further understanding of what is leading to these disparities is needed to guide improvement in equity.
患有先天性心脏病的婴儿在接受心脏手术后，通常会带着管饲出院回家。临床因素已被证明会影响心脏手术后的管饲持续时间，但关于社会经济因素如何影响管饲持续时间的信息较少。这项回顾性队列研究是在2016年至2023年期间出生后60天内接受先天性心脏病手术并带着管饲出院的婴儿中进行的（N = 102）。收集了管饲持续时间、社区社会经济地位（SES）、自我报告的种族和民族以及保险类型。社区SES是根据Diez-Roux先前发表的方法并使用儿童机会指数计算得出的。管饲总持续时间的中位数为490.5天，60.8%的婴儿需要管饲超过1年。与其他种族和民族群体相比，西班牙裔/拉丁裔患者的管饲天数中位数最高（1065天）。住院时间较长、西班牙裔/拉丁裔种族以及社区SES得分较低（比值比：1.023 - 7.773）与需要管饲超过1年的几率增加相关。需要进一步了解导致这些差异的原因，以指导公平性的改善。
