Longitudinal Trends in Pediatric Survival by Congenital Heart Defect in Texas, 1999 to 2017
Authors' conclusion
One-year survival improved for most CHDs over recent decades, although survival varies widely by CHD and characteristics. Findings have implications for clinical counseling, population-level resource and research planning, and reinforce the need for mitigation of disparities among individuals with CHDs.
Study context
- Population
- 1999 to 2017 live births with ≥1 major CHD in the statewide Texas Birth Defects Registrychildren with CHDs
- Participants
- 61,656 participants
- Exposure
- Survival by CHD lesion, birth period and characteristics
- Outcome
- Survival, all CHDs
- Follow-up
- 7 days and 10 years
Main finding
As reported in the abstract
Survival at 7 days
98.1%
Survival at 10 years
90.7%
10-year survival range by lesion
50.0% to 97.3%
Observational data: associations, not effects.
Further findings
Born 1999-2004 vs born 2014-2017
1-year survival, hypoplastic left heart syndrome, by birth period
P < 0.0001
non-Hispanic Black mothers vs non-Hispanic White mothers
1-year survival, complex pulmonary atresia, by maternal race/ethnicity
P = 0.01
1-year survival, complex pulmonary atresia, by maternal race/ethnicity
- One-year survival differed by sex, gestational age, birthweight, and extracardiac defect status
Original publication
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