The Effect of Caregiver Language on Post-operative Length of Stay following Initial Surgery for Congenital Heart Disease Open Access
Kuo, Kristina Whitfield (2012)
Published
Abstract
Background: Several studies have described racial and ethnic
disparities in children who
have had surgery for congenital heart disease (CHD). However, none
have
evaluated language barriers as a potential explanation for some of
these disparities.
The purpose of this study was to evaluate whether caregiver
language has an effect
on post-operative length of stay.
Methods: A retrospective cohort study was conducted on 3,250
subjects who underwent
their initial surgery encounter for CHD at Children's Healthcare of
Atlanta between
January 1st, 2004 and December 31st, 2010, and who survived
hospitalization to be
discharged home. Simple linear regression using least-squares means
differences
of post-operative length of stay for children of non-English vs.
English speaking
caregivers. Multiple linear regression was used to calculate
least-squares means
differences for post-operative length of stay.
Results: Average post-operative length of stay was 8.68 days
(median 5 days) overall,
8.60 days (median 5 days) for children of English speaking
caregivers, and 9.36
days (median 5 days) for children of non-English speaking
caregivers. Crude least-
squares means (LSM) difference was 0.76 day (95% CI, -0.93-2.45;
P 0.3771). After
adjusting for age at time of surgery, sex, race/ethnicity, presence
of genetic
syndrome, and surgery risk category, the difference remained
insignificant (LSM
difference, 0.90; 95% CI, -1.65-3.44; P 0.4898).
Conclusion: Previous racial and ethnic differences observed
in post-operative length of
stay for children who have had surgery for congenital heart disease
do not appear
to be explained by caregiver language for children who had their
initial surgery at
Children's Healthcare of Atlanta between 2004 and 2010.
Table of Contents
Table of Contents
Background/Literature Review 1
Methods 3
Study Design 3
Analysis 4
Results 6
Discussion 9
Strengths and Limitations 13
Conclusion/Future Directions 16
References 18
Tables 23
Table 1 23
Table 2 24
Table 3 25
Table 4 26
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