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- W108261519 abstract "Background: The first Canadian Consensus Conference on Adult Congenital Heart Disease (ACHD) was held in l996, with proceeds published in 1998 recommending referral of ACHD care to specialized centers. Over a decade later, no study has documented that specialized ACHD care improves outcomes. We undertook an analysis to determine the impact of ACHD care on mortality. Methods: Time-series analyses from 1990-2005 were performed using the Quebec ACHD database. ACHD centers were defined as hospital centers where > 500 ACHD patients were seen yearly. The study population consisted of patients aged 18-65 years identified with CHD in the 7 years prior to the year of measurement. Patients were considered referred to an ACHD center if they visited a qualifying ACHD center in the year of measurement. Yearly referral and mortality rates were analyzed using Joinpoint regression to detect the year at which a significant change occurred, and Poisson regression to analyze time trends before and after change-points. Resul..." @default.
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- W108261519 date "2011-11-22" @default.
- W108261519 modified "2023-09-24" @default.
- W108261519 title "Abstract 12115: Adult Congenital Heart Disease Centre Care: A Population Based Analysis of Impact on Mortality" @default.
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