Table 1.
Comparisons of demographics, hospital outcomes and costs for admissions with completed pregnancies for the moderate congenital heart disease (CHD), severe CHD and No CHD groups.
| Factor | Moderate CHD (n = 1277) | OR for Moderate CHD vs No CHD (95% CI) | Severe CHD (n = 251) | OR for Severe CHD vs No CHD (95% CI) | OR for Moderate CHD vs Severe CHD (95% CI) | No CHD (n = 2,467,589) | p |
|---|---|---|---|---|---|---|---|
| Age (y) | 28.2 ± 5.8* | 28.3 ± 5.5* | 29.6 ± 5.8 | <0.001 | |||
| Age categories (n, %) | |||||||
| 15–19 | 80 (6.3) | 9 (3.6) | 105,302 (4.3) | <0.001 | |||
| 20–24 | 283 (22.2) | 57 (22.7) | 412,738 (16.7) | ||||
| 25–29 | 404 (31.6) | 85 (33.9) | 673,756 (27.3) | ||||
| 30–34 | 302 (23.6) | 66 (26.3) | 761,722 (30.9) | ||||
| 35–39 | 178 (13.9) | 27 (10.8) | 421,455 (17.1) | ||||
| 40–44 | 30 (2.3) | 7 (2.8) | 92,616 (3.8) | ||||
| Race/Ethnicity (n, %) | |||||||
| White | 836 (65.5)* | 177 (70.5)* | 1,431,615 (58) | <0.001 | |||
| Black | 177 (13.9)* | 25 (10)* | 456,767 (18.5) | ||||
| Hispanic | 210 (16.4) | 30 (12) | 442,597 (17.9) | ||||
| Asian/Pacific Islander | 37 (2.9)* | 8 (3.2) | 146,993 (6) | ||||
| Insurance (n, %) | |||||||
| Private | 611 (47.8)* | 121 (48.2) | 1,322,340 (53.6) | <0.001 | |||
| Medicaid | 602 (47.1)* | 105 (41.8) | 1,022,174 (41.4) | ||||
| Medicare | 28 (2.2)* | 8 (3.2)* | 14,336 (0.6) | ||||
| Self-pay | 6 (0.5)* | 3 (1.2) | 30,115 (1.2) | ||||
| LOS (d) | 4.4 ± 5.9* | 6.6 ± 10.0*,† | 3.0 ± 2.8 | <0.001 | |||
| ICU admission (%) | 8.9* | 16.2 (13.4–19.7) | 19.1*,† | 39.2 (28.6–53.7) | 2.4 (1.7–3.5) | 0.6 | <0.001 |
| Complications (n, %) | 141 (11)* | 1.3 (1.1–1.6) | 37 (14.7)* | 1.8 (1.3–2.6) | 1.4 (0.9–2.1) | 212,942 (8.6) | <0.001 |
| In-hospital mortality (n, %) | 2 (0.16)* | 17.9 (4.4–72.2) | 2 (0.8)* | 91.8 (22.7–371.3) | 5.1 (0.7–36.5) | 216 (0.01) | <0.001 |
| Total costs ($) | $6391 ± 15,430* | $10,929 ± 35,143*,† | $3672 ± 3196 | <0.001 |
Post-hoc analyses: Age: Moderate CHD vs Severe CHD p = 0.9662, Moderate CHD vs No CHD p < 0.001, Severe CHD vs No CHD p = 0.001. Race: White race/ethnicity – No CHD vs Moderate CHD p < 0.001 and No CHD vs Severe CHD p < 0.001. Black race/ethnicity – No CHD vs Moderate CHD p < 0.001, No CHD vs. Severe CHD p = 0.004. Asian race/ethnicity – No CHD vs Moderate CHD p < 0.001. Insurance: Private – No CHD vs Moderate CHD p < 0.001. Medicaid – No CHD vs Moderate CHD p < 0.001. Medicare – No CHD vs Moderate CHD p < 0.001, No CHD vs Severe CHD p < 0.001. Self-pay – No CHD vs Moderate CHD p = 0.041. LOS: p < 0.001 for No CHD vs Moderate CHD, No CHD vs Severe CHD and Moderate CHD vs Severe CHD. ICU: No CHD vs Moderate CHD p < 0.001, No CHD vs Severe CHD p < 0.001, Moderate CHD vs Severe CHD p < 0.001. Complications: No CHD vs Moderate CHD p = 0.006, No CHD vs Severe CHD p = 0.002. In-hospital mortality: No CHD vs Moderate CHD p < 0.001, No CHD vs Severe CHD p < 0.001. Total costs: p < 0.001 for No CHD vs Moderate CHD, No CHD vs Severe CHD and Moderate CHD vs Severe CHD.
p Values are for comparison across all three groups with details of post-hoc analyses shown below the Table; * p ≤ 0.05 compared to No CHD, † p ≤ 0.05 compared to Moderate CHD. Data are presented as n, %, mean ± standard deviation or odds ratio (95% confidence interval). Complications = higher presence of complications listed in the Vizient Clinical Data Base; ICU = intensive care unit; LOS = length of stay, OR = odds ratio. Data from the Vizient Clinical Data Base/Resource Manager used by permission of Vizient. All rights reserved.