Congenital heart disease

Does Down syndrome influence the outcomes of congenital cardiac surgery? A systematic review and meta-analysis

Eur Heart J Qual Care Clin OutcomesPublished Systematic review and meta-analysis

Pooled result · Long-term mortalityResult — go to the resultHazard ratio 0.86 95% CI 0.6–1.23

Authors' conclusion

DS does not affect post-congenital cardiac surgical survival in adulthood.

Study context

Population
Adults (>18 years) with operated congenital heart disease
Participants
10,466 adults23 studies
Comparison
Down syndrome (DS) vs no DS
Outcome
Long-term mortality
Follow-up
Maximum 38 years
Methodological detailsrandom- and fixed-effects models, Risk of bias frequently high (unblinded retrospective designs, limited adjustment)
  • Random- and fixed-effects models
  • Risk of bias frequently high (unblinded retrospective designs, limited adjustment)

Pooled result

As reported in the abstract

Hazard ratio

0.86

95% CI 0.6–1.23

DSvs Without DS
HR 0.86 (95% CI 0.6–1.23)

Further pooled results

OutcomeHR (95% CI)
Cardiac reoperation0.6 (0.46–0.78)

Original publication

Does Down syndrome influence the outcomes of congenital cardiac surgery? A systematic review and meta-analysis. Eur Heart J Qual Care Clin Outcomes. Published 24 May 2022. doi:10.1093/ehjqcco/qcac028

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