Arrhythmias & electrophysiology
Racial Health Disparity Associated With Poor Pediatric Cardiac Surgery Outcomes: A Multicentered, Cross-Sectional Study
Study context
- Population
- Pediatric patients undergoing cardiac surgery (ICD-10), Oct 2015–Dec 2020, categorised by RACHS-2 complexitymedian age 7.4 months
- Participants
- 59,856 patients
- Exposure
- Non-White vs White race
- Outcome
- Hospital mortality and postoperative LOS (risk factors for poor clinical outcomes)
Methodological detailsPediatric Health Information System Database, multivariable regression
- Pediatric Health Information System Database
- Multivariable regression
Main finding
As reported in the abstract
Relative risk
1.2
95% CI 0.729–0.955P = 0.008
mortality; adjusted
Increased postoperative length of stay (LOS)
1.04 days
95% CI 0.95–0.97P < 0.001
adjusted
Observational data: associations, not effects.
Further findings
| Outcome | RR (95% CI) | P value | |
|---|---|---|---|
| Hospital mortality and postoperative LOS, neonates (subgroup)Non-Whitevs WhiteMortality | 1.3 (1.1–1.6) | P = 0.003 | |
| 0.512Relative risk (log scale) |
| Outcome | Increased postoperative LOS (weeks) (95% CI) | P value |
|---|---|---|
| Hospital mortality and postoperative LOS, neonates (subgroup)Non-White vs White | 2.05 (1.36–3.10) | P < 0.001 |
Overall hospital mortality and postoperative LOS
- Hospital mortality
- 3%
- Postoperative LOS, days (IQR 4-18)
- 7
- Significant increases in mortality and postoperative LOS from low to high RACHS-2
- RACHS-2: 38,917 low, 9,833 medium, 11,106 high
Factors associated with mortality (mechanical ventilation, ECMO, infection, surgical complication)
- Increased mortality by 1.198 to 10.227 times
- P < 0.008
Original publication
Racial Health Disparity Associated With Poor Pediatric Cardiac Surgery Outcomes: A Multicentered, Cross-Sectional Study. JACC Adv. Published 12 June 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →