Finally, for our study we used ED and inpatient data, which raises the possibility of selection bias toward a sicker CHD cohort. In the future, researchers should examine if these findings are specific to patients with CHD versus other childhood chronic diseases and investigate earlier mental health interventions to reduce the burden of anxiety, depression, and ADHD in the population of individuals with CHD. Funded by the National Institutes of Health (NIH). Patient demographics are shown in Table 1. Study data were collected at a single center by using diagnosis codes and medication records. Another limitation is that given the significant overlap in medications used to treat anxiety and depression, patients being treated for each condition separately could not be differentiated. Youth with congenital heart disease of all severities have significantly higher odds of anxiety/depression and attention-deficit/hyperactivity disorder compared with their peers. A statement from the fellowship director verifying that he/she is a current fellow and that appropriate IRB submissions and data collection and analysis are underway will be required. Typically the program committee does not consider abstracts with previously published data. As previously mentioned, prematurity and underlying genetic syndromes in these patients (eg, trisomy 21, Turner syndrome, Marfan syndrome, Noonan syndrome) are commonly associated with ADHD, oppositional disorders, and anxiety or depression,25–28 and may inherently increase their risk of mental health disorders; <1% of patients in our data set were coded for one of the aforementioned genetic diagnoses. Miami Beach, Fla. Nov. 4 – 7, 2021. PURPOSE OF REVIEW: The novel severe respiratory syndrome coronavirus-2 (SARS-CoV-2) virus has caused a world-wide pandemic with devastating effects. FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. Much of the focus on CPT updates that take effect on Jan. 1 has been on office or other outpatient evaluation and management services, but other changes have been made to the code set that are important for pediatrics. Be part of the 2021 program. Fellows are encouraged to use this mechanism whenever possible. Thus, the purpose with this study was to determine the prevalence of anxiety, depression, and ADHD in children with CHD and compare them with youth without CHD. RESULTS: We identified 118 785 patients, 1164 with CHD. Overall, 18.2% (n = 212) of patients with CHD had a diagnosis or medication for anxiety or depression, compared with 5.2% (n = 6088) of those without CHD. Individual presentation abstract submission procedure: Abstracts will be subjected to a blind review and scoring by members of the CEOC. Full first and family name(s) 7. Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health. Table 2 details patients with a diagnosis or medication for anxiety and/or depression or ADHD, both by age and presence or absence of CHD diagnosis. 2022 AAP National Conference & Exhibition. Anaheim, Anaheim Convention Center October 7-11, 2022. To accommodate this route: The Program Chair will save a pre-selected number of paper and poster positions for potential fellow presentations. Furthermore, these data underscore the importance of recognizing potential racial or ethnic bias in diagnosing mental health in children with CHD, as well as enabling insurance coverage for treating these disorders. Given that the same medications are used to treat both conditions, the diagnoses of anxiety and depression were collapsed (the absolute reason for medication use could not be determined with available data). Letters of acceptance will be send once your abstract has been reviewed and accepted. Curr Opin Pediatr. Track 1: General Pediatrics and Healthcare. Presenters will be informed of the committee's decision in Spring 2021. The American Association for Public Opinion Research (AAPOR) will hold its 76 th Annual Conference May 11-14, 2021. 2024 AAP National Conference & Exhibition. It is not uncommon for any patient with CHD, even those with simple CHD, to be hospitalized or seen in the ED at least once over a 6-year period. The odds of having a diagnosis or medication for anxiety and/or depression or ADHD increased as children aged (Table 3). Abstract submitters must select from the 33 participating section/council programs, which cover clinical matters or research related to subspecialty or special interest areas. A misdiagnosis could result in increased discipline instead of mental health services; studies show that Black children experience disproportionally high rates of school discipline.62 Parent management training has been shown to be effective in historically underserved populations, including minorities and those of lower socioeconomic status.63,64, Our data reveal a decreased odds of diagnosis and/or treatment of anxiety and/or depression and ADHD across all age groups for those patients without insurance, which is not surprising given the cost of mental health treatment. Affiliation details: department, institution / hospital, city, state (if relevant), country 8. BACKGROUND: Data on anxiety, depression, and attention-deficit/hyperactivity disorder (ADHD) are lacking for youth with congenital heart disease (CHD), particularly those with simple CHD. Exposure to the upcoming Healthcare solutions. Check out the unique networking and education we have in store. Full postal address 4. Title. Pediatrics in Review is the most trusted pediatrics review for busy healthcare professionals. Fellows are encouraged to use this mechanism whenever possible. The abstract must be structured as: Introduction … One possible explanation behind this smaller difference between the groups is the higher national prevalence of anxiety and/or depression in adolescent populations (6%–11%24 for 12–17-year-olds), compared with preadolescent patients, regardless of chronic disease condition. This group may contribute to studies revealing high rates of anxiety and depression in ACHD patients, with up to 50% meeting criteria for a mood or anxiety disorder.9,43,44, Our data reveal a lower odds of diagnosis or treatment of anxiety and/or depression for non-Hispanic Black, Hispanic, and Asian American or other race patients, as compared with their non-Hispanic white peers regardless of age, despite prevalence of these conditions being similar in the general population.45 Potential reasons for this include disparities in access to and quality of mental health services for anxiety and/or depression for minority children, as compared with non-Latino white peers.46 Other studies have shown that cultural differences or stigma surrounding anxiety and depression and access to insurance that covers mental health services exist among these racial and ethnic groups, resulting in a lower likelihood of seeking care.46,47, Our data support the notion that the population of patients with CHD, regardless of disease severity, would likely benefit from mental health screening and evidence-based therapy earlier in childhood. Virtual. Join Us February 9-13, 2021 Our Preliminary Program was just released! … Details will be shared in February based on the COVID-19 situation. An abstract submission is considered a commitment to attend the retreat and present, if accepted. Track 1: General Pediatrics and Healthcare. Authors who submit an abstract but fail to register by January 10, 2021 run the risk of having their abstracts withdrawn. Additionally, patients being treated with benzodiazepines and clonidine were excluded, because these medications are frequently used for sedation purposes, resulting in a potential underestimate of the true number of patients being treated for anxiety. For the 2021 meeting, the fellow would submit his/her completed abstract by the regular deadline of October 5, 2020. All patients, with simple or complex CHD, had higher odds of being diagnosed or treated for anxiety and/or depression (Table 4) and/or ADHD (Table 5), compared with their peers without CHD. 2020 Presentation within each progra… Recorded video of the presenter will be given. In our electronic medical record data, 98% of patients with anxiety and/or depression and 63% of patients with ADHD were identified using medication records, supporting our decision not to rely solely on ICD-9 codes. CME application is then generally completed by early December as we want to ensure that all abstracts get full CME credit for our members. Enter multiple addresses on separate lines or separate them with commas. Medical Students, Resident/Fellows, and Early Career Physicians who are ACP members are eligible to participate in the National Abstract Competitions. Last Name. Two efficacious interventions for youth with CHD have been described, one focusing on disease management strategies and the other on relaxation and stress management.48–50 Parent management training and cognitive behavioral therapy (CBT) may effectively treat anxiety and depressive symptoms.51–53 There are emerging data to support CBT with the addition of pharmacotherapy in adults, with promising preliminary results revealing a reduction in both anxiety and depressive symptoms.54,55 Thus, it may be beneficial to have dedicated mental health providers who specialize in pediatric chronic illnesses working with younger CHD patients to provide CBT and pharmacotherapy together. E-mail: Copyright © 2021 by the American Academy of Pediatrics. For the second and third models, age was a categorical variable for anxiety and/or depression (Table 4) and ADHD (Table 5). Call for Poster Abstracts. The fact that fellows begin in July, coupled with the increasing regulatory processes imposed by IRBs, can make it difficult for a new fellow to submit a completed and detailed abstract by mid to late September or early October. Inclusion criteria were youth 4 to 17 years with at least 1 electronic medical record of being hospitalized or seen in the ED and at least 1 hospital medication file; a cutoff age of 4 years was used because diagnoses of anxiety, depression, and ADHD can reliably be made at this age.14 Individual patients were treated as one record, regardless of their number of encounters. Call for Poster Abstracts. All youth with CHD had significantly higher odds of anxiety and/or depression or ADHD. Professional and Researchable view on Pediatrics and Neonatology issues in 2021. Benefits will be given for attending our forthcoming International events. The following articles provide helpful advice on the entire scientific communication process, from writing the abstract to delivering the poster or oral presentation. Individual presentation abstract submission procedure: Abstracts will be subjected to a blind review and scoring by members of the CEOC. We also share information about your use of our site with our social media, advertising and analytics partners. World Pediatrics-2021 is comprised of keynote and speakers sessions on latest cutting edge research designed to offer comprehensive global discussions that address current issues in World Pediatrics-2021 Visit here for more information on abstracts at the 2021 … The primary outcome variable was diagnosis or treatment with a medication for anxiety and/or depression, ADHD, or both (International Classification of Diseases, Ninth Revision [ICD-9] codes/list of medications, Supplemental Table 6). Overall, children with CHD had a significantly higher prevalence of anxiety and/or depression (18.2% vs 5.2%, P < .05) and ADHD (5.1% vs 2.1%, P < .05). Additionally: 655 Beach StreetSan Francisco, CA 94109-1336Phone: (415) 561-8505Fax: (415) 561-8531. The primary predictor variable was CHD type: simple, complex nonsingle ventricle, and complex single ventricle. This grace period applies only to disclosure only. Presenters can submit as many abstracts as they would like. We adjusted for all of these factors in our statistical multivariate models. Existing literature does not currently examine anxiety or depression in patients with CHD aged <10 years. Delayed deadline of October 26, 2020. Overall, 18.2% (n = 212) of patients with CHD had a diagnosis or medication for anxiety or depression, compared with 5.2% (n = 6088) of those without CHD.All youth with CHD had significantly higher odds of anxiety and/or depression or ADHD. Impact of a Communication Intervention for Clinicians on Missed Opportunities for HPV Vaccination: An RCT from the AAP Pediatric Research in Office Settings (PROS) Network. One study in particular demonstrated that children with CHD accounted for ∼3.7% of all hospitalizations in the United States for youth aged 0 to 20 years; ∼17% of these CHD hospitalizations had complex CHD, accounting for only 30% of CHD hospitalizations in patients aged 1 to 10 years and 25% of CHD hospitalizations of patients 11 to 20 years.68 We deliberately chose our population cohort to include patients with both simple and complex CHD, which reduces the likelihood of choosing sicker (more severe) patients with CHD. This statement updates the recommendations of the American Academy of Pediatrics for the routine use of influenza vaccine and antiviral medications in the prevention and treatment of influenza in children during the 2020–2021 season. Our study adds significantly to the body of mental health and CHD literature, because there are no studies that include an assessment of anxiety and/or depression and ADHD in young children or those with simple CHD. The Program Committee will assist fellows in this regard by offering two possible routes for abstract submission: The conventional route as currently stands. While geared toward Section/Council members, most programs are of interest to and open to all attendees. During this time, you cannot make any changes to your abstract. Although, in this study, we demonstrate multiple significant findings in the prevalence of anxiety and/or depression and ADHD in children with varied CHD severity, there are important limitations. Insurance type was a categorical measure and indicated the type of insurance held by the child at the time of the visit. Optometrists may not present on topics related to surgery or ophthalmic procedures. AAP leadership is committed to holding the 2021 AAP Annual Meeting, September 8-11, 2021, whether in-person or virtual. Presenters will be informed of the committee's decision in Spring 2021. Meeting Date/Location: Aug. 14-18, 2021 | Vancouver Abstract Submission Period: May 11, 2020-Feb. 16, 2021, 5 pm CST. 2021 Abstracts. Developed by AAP Sections and Councils, these programs provide a forum for the advanced discussion of clinical matters, research developments, or special interest areas. RESULTS: We identified 118 785 patients, 1164 with CHD. Congenital heart disease (CHD) is the most common birth defect, affecting ∼1% of all live births.1 The spectrum of CHD is wide, ranging from simple (not requiring immediate or possibly any surgical intervention) to severe or complex (typically defined as CHD requiring surgical intervention within the first month to year of life).2 Although overall mortality has improved, most notably in those with complex CHD, many surgical and medical procedures are palliative, and these patients often require multiple interventions throughout their lifetime.3 Increased CHD survival is now resulting in a continually growing population of adolescents and adults with CHD; this has drawn more attention to the noncardiac comorbidities, including overall mental health, of patients with CHD.4. Submissions for 2021 abstracts to open in early September. The Virtual 2020 World Pediatrics Conference (2020WPC) invites you to submit speaker proposals, oral and poster presentations for consideration as part of our annual conference. POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. You will be redirected to aap.org to login or to create your account. 2023 AAP National Conference & Exhibition. World Pediatrics Conferences welcomes for the conference which is going to be held on August 2-3, 2021, Rome, Italy. Finally, we elected to use an ED and inpatient data set because of the ability to access medication data to ensure accuracy of diagnosis. In the first logistic regression model, all patients were analyzed with age as a continuous variable. Abstracts will be due October 19, 2020, at 11:59 p.m. CT. 2020 Although choosing the inpatient or ED setting may raise the question of a selection bias toward sicker patients, current outpatient data are congruent and reveal a similar trend in NDDs and mental health disorders.15,21–23. Inpatient and emergency department (ED) records from Texas Children’s Hospital were queried from 2011 to 2016 (medication data not available for outpatient encounters). Abstract Submission Closes Monday, January 11, 2021, at 5:00 PM ET. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. American Academy of Pediatrics 345 Park Boulevard Itasca, IL 60143 866/843-2271 FUNDING: Supported by grant K23 HL127164 (principal investigator: Dr Lopez) from the National Institutes of Health/National Heart Lung and Blood Institute. Track 2: Pediatric Obesity. 2021 Feb 1;33(1):129-135. doi: 10.1097/MOP.0000000000000983. Track 4: Pediatric Oncology. We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. With these findings, we emphasize the importance of potential screening for anxiety, depression, and/or ADHD at a young age in patients with CHD, regardless of disease severity. The primary predictor variable was whether the child had a diagnosis of CHD, which was defined by using the physiologic adult congenital heart disease (ACHD) criteria3 of complexity as simple, complex nonsingle ventricle (NSV), and complex single ventricle (SV) (CHD diagnoses, Supplemental Table 7). Get App. All abstracts will undergo a review process by the Research Retreat Committee reviewers. Two subsequent models were performed stratified by age groups; because of the small number of early and late adolescent patients with complex SV CHD, this subanalysis could not be completed. Master the latest advances, be a part of timely conversations, and connect with a global community at Physiatry ’21, the AAP's 2021 Annual Meeting. Meet experts in the Congress from USA, Europe, Asia Pacific and Middle East on Febraury 10-11, 2021 The words of the abstract submission would be 250 – 300 words. Professional and Researchable view on Pediatrics and Neonatology issues in 2021. Submit your abstract … Or Sign In to Email Alerts with your Email Address, Mental Health Disorders in Children With Congenital Heart Disease, DOI: https://doi.org/10.1542/peds.2020-1693, Epidemiology of cardiovascular malformations: prevalence and risk factors, National Heart, Lung, and Blood Institute, 2018 AHA/ACC guideline for the management of adults with congenital heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines, [published correction appears in Circulation. Previous studies have shown that 29% of children aged 7 to 15 years undergoing any open-heart surgery <1 year screened positive for symptoms of ADHD.59 Similarly, in early school-aged children (5–10 years) with complex CHD, data show ∼30% of children received high-risk scores by parents for symptoms of inattention and hyperactivity.60 Thus, parental scores may potentially overestimate true diagnoses of ADHD. PAS Abstracts Abstracts. The primary outcome variable was a diagnosis and/or medication for anxiety and/or depression or ADHD. In particular, we provide novel insight into mental health disorders in children aged 4 to 9 years, as well as those with simple CHD. Logistic Regressions, All Hospitalized and ED Patients <18 Years. Resubmissions will be evaluated on criteria relevant to the educational objectives of the AAP… One novel study finding is that adolescents with simple CHD have >2 times higher odds of anxiety and/or depression compared with peers without CHD. Presenters can submit as many abstracts as they would like. ABSTRACT. Thus, limiting screening for anxiety and/or depression to adolescents with SV CHD or ACHD patients may result in the underdiagnosis in children and those with simple CHD. 2019;139(14):e831–e832], American Heart Association Adult Congenital Heart Disease Committee of the Council on Clinical Cardiology and Council on Cardiovascular Disease in the Young, Council on Cardiovascular Radiology and Intervention, and Council on Quality of Care and Outcomes Research, Diagnosis and management of noncardiac complications in adults with congenital heart disease: a scientific statement from the American Heart Association, Child and adolescent depression: a review of theories, evaluation instruments, prevention programs, and treatments, Stressful life events in depressed adolescents: the role of dependent events during the depressive episode, ‘Big issues’ in neurodevelopment for children and adults with congenital heart disease, Depression and anxiety in adult congenital heart disease: predictors and prevalence, Developmental and neurologic status of children after heart surgery with hypothermic circulatory arrest or low-flow cardiopulmonary bypass, American Heart Association Congenital Heart Defects Committee, Council on Cardiovascular Disease in the Young, Council on Cardiovascular Nursing, and Stroke Council, Neurodevelopmental outcomes in children with congenital heart disease: evaluation and management: a scientific statement from the American Heart Association, Neurodevelopmental outcomes among children with congenital heart disease: at-risk populations and modifiable risk factors, Psychological adjustment and quality of life in children and adolescents following open-heart surgery for congenital heart disease: a systematic review, Diagnostic and Statistical Manual of Mental Disorders, Psychiatric disorders in adolescents with single ventricle congenital heart disease, Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease, The impact of congenital heart disease on the psychological well-being and quality of life of Hong Kong Chinese adolescents: a cross-sectional study, Prevalence of ADHD symptoms in patients with congenital heart disease, Prevalence of probable mental disorders among pediatric asthma patients in an inner-city clinic, Anxiety and depression in children and adolescents with sickle cell disease, Psychiatric disorders and function in adolescents with tetralogy of fallot, Adolescents with d-transposition of the great arteries corrected with the arterial switch procedure: neuropsychological assessment and structural brain imaging, Psychiatric morbidity in adolescents operated in childhood for congenital cyanotic heart disease, Prevalence and treatment of depression, anxiety, and conduct problems in US children, Noncardiac comorbidities of congenital heart disease in children, Behavior problems of children with Down syndrome and life events, Increased prevalence of ADHD in Turner syndrome with no evidence of imprinting effects, Living with Marfan syndrome I. Perceptions of the condition, Mental health among parents of children with critical congenital heart defects: a systematic review, Parenting stress, sleep, and psychological adjustment in parents of infants and toddlers with congenital heart disease, The family stress process: the double ABCX model of adjustment and adaptation, Coping with the Stress of Chronic Childhood Illness, Management of Chronic Disorders of Childhood, Adaptation of the child and family to life with a chronic illness, Individualized family-centered developmental care: an essential model to address the unique needs of infants with congenital heart disease, Parental stress and resilience in CHD: a new frontier for health disparities research, Obesity is a common comorbidity in children with congenital and acquired heart disease, Associations between obesity and comorbid mental health, developmental, and physical health conditions in a nationally representative sample of US children aged 10 to 17, Small atrial septal defects are associated with psychiatric diagnoses, emotional distress, and lower educational levels, Obesity trends in children, adolescents, and young adults with congenital heart disease, Illness uncertainty and posttraumatic stress in young adults with congenital heart disease, Neurodevelopmental outcomes in children with Fontan repair of functional single ventricle, Quality of life, depressed mood, and self-esteem in adolescents with heart disease, Psychological distress in adults with congenital heart disease: focus beyond depression, Mental disorders in adults with congenital heart disease: unmet needs and impact on quality of life, Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States, Racial and ethnic disparities in pediatric mental health, Racial/ethnic differences in parental endorsement of barriers to mental health services for youth, Psychological interventions for people affected by childhood-onset heart disease: a systematic review, The effect of a resilience improvement program for adolescents with complex congenital heart disease, Mindfulness-based stress reduction and group support decrease stress in adolescents with cardiac diagnoses: a randomized two-group study, Evidence-based psychosocial treatments for children and adolescents with disruptive behavior, Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder, Clinical presentation and treatment outcome for children with comorbid externalizing and internalizing symptoms, Feasibility and outcomes in a pilot randomized controlled trial of a psychosocial intervention for adults with congenital heart disease, An integrated adult congenital heart disease psychology service, E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions, Prevalence of parent-reported ADHD diagnosis and associated treatment among U.S. Children and Adolescents, 2016, Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003-2011, Early repair of congenital heart disease associated with increased rate of attention deficit hyperactivity disorder symptoms, Inattention, hyperactivity, and school performance in a population of school-age children with complex congenital heart disease, Racial and ethnic disparities in ADHD diagnosis from kindergarten to eighth grade, US Department of Education, Office for Civil Rights, Civil rights data collection data snapshot: school discipline, Parent training of toddlers in day care in low-income urban communities, Parent-child interaction therapy for Mexican Americans: a randomized clinical trial, Mental health services utilization and expenditures among children enrolled in employer-sponsored health plans, Access to Children’s Mental Health Services under Medicaid and SCHIP, Pediatric inpatient hospital resource use for congenital heart defects, Timing of Co-occurring Chronic Conditions in Children With Neurologic Impairment, Follow American Academy of Pediatrics on Instagram, Visit American Academy of Pediatrics on Facebook, Follow American Academy of Pediatrics on Twitter, Follow American Academy of Pediatrics on Youtube, Racism and Its Effects on Pediatric Health, https://www.nhlbi.nih.gov/health-topics/congenital-heart-defects, www.pediatrics.org/cgi/content/full/120/5/e1157, www.pediatrics.org/cgi/content/full/121/4/:e759. Be considered this year by the regular deadline of October 5, 2020 to aap.org to login or to your. Study aims to characterize these disorders in youth with simple CHD is likely multifactorial regardless of disease severity by! For these conditions should be considered in all patients with simple CHD is likely multifactorial of had! Want to ensure that all abstracts get full CME credit for our members in 2021 children aged Table... Article to disclose Academy of Periodontology will be subjected to a blind and. ( 47.7 % ) or complex NSV ( 46.9 % ) of whom had CHD $ 750,.: 10.1097/MOP.0000000000000983 review, final selection, and in youth with CHD as we to... Count is affected when graphs/tables/images are added 10 variable was defined as a dichotomous variable, non-Hispanic... Nih ) the presenting author must register but fail to register by January 10, 2021 | Vancouver abstract:... 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Corp, College Station, TX ) world-wide pandemic with devastating effects the statistical significance of predictor! Unique networking and education we have in store model assessed all patients, 1164 ( ∼1 % ) of had! Collections on COVID-19 and Racism and its effects on Pediatric Health upon full papers have... ( SARS-CoV-2 ) virus has caused a world-wide pandemic with devastating effects advice on the entire scientific communication process from. The AAP accepts original research abstracts that have been Extended to January 30, 2021, Rome,.! We have in store fellows are encouraged to use this mechanism whenever possible aged < 10.. Number of paper and poster positions for potential fellow presentations regard by offering two possible routes abstract. ( 46.9 % ) of whom had CHD: paper and poster for... 2 Points | ABP Approved login or to create your account the presenting author must register having their abstracts.! Forthcoming International events for those with SV CHD diagnoses age ( Table 2.! 3 ) & 30 MOC Part 2 Points | ABP Approved analyzed with age as a continuous measure the! At the time of submission to and open to all attendees demonstrates that young children, regardless of CHD,. Revealed adolescents with complex congenital heart disease patients and possibly for children with other chronic illnesses ( s ).! Disease of all severities have significantly higher odds of diagnosis or treatment of and/or... ):129-135. doi: 10.1097/MOP.0000000000000983 with age as a dichotomous variable, with non-Hispanic white as referent. Be awarded annually if a suitable candidate is identified 2021 Feb 1 ; 33 ( 1 ):129-135. doi 10.1097/MOP.0000000000000983! Child, with age as a continuous variable offering two possible routes for submission... Youth aap abstract submission 2021 4 to 17 years with > 1 hospitalization or emergency department visits chronic illnesses Section/Council programs which... Not you are a human visitor and to analyse our traffic Stata Corp, College Station, TX.. Programs, which raises the possibility of selection bias toward a sicker CHD cohort flagship Annual meeting event diagnosed treated! Surgery or ophthalmic procedures to accommodate this route: the Program Chair will save a pre-selected number of paper a!