ArticleThe Journal of pediatrics2015
Racial disparities in failure-to-rescue among children undergoing congenital heart surgery.
Article in The Journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Impact of social determinants of health on perioperative and interstage outcomes in congenital heart surgery a systematic review.Frontiers in cardiovascular medicine · 2026Pooled it
- The Association of Race and Ethnicity with Mortality in Pediatric Patients with Congenital Heart Disease: a Systematic Review.Journal of racial and ethnic health disparities · 2024Pooled it
- Conceptualising paediatric health disparities: a metanarrative systematic review and unified conceptual framework.BMJ open · 2017Pooled it
- Neonatal extracorporeal membrane oxygenation outcomes according to social determinants of health.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Demographic differences in complication and failure to rescue rates following lung transplantation.JHLT open · 2026Article
- Racial and Educational Isolation are Associated with Worse Outcomes in Congenital Heart Disease.Pediatric cardiology · 2026Article
- Foster Care Status as an Understudied Social Driver of Health Outcomes for Children Needing Cardiac Surgery.Journal of the American Heart Association · 2025Article
- Addressing Disparities in Pediatric Congenital Heart Disease: A Call for Equitable Health Care.Journal of the American Heart Association · 2024Review
- Effects of Sociodemographic Factors on Access to and Outcomes in Congenital Heart Disease in the United States.Journal of cardiovascular development and disease · 2024Article
- Association Between Race/Ethnicity and Severity of Illness in Pediatric Cardiomyopathy and Myocarditis.Pediatric cardiology · 2023Article
- Does universal insurance influence disparities in high-quality hospital use for inpatient pediatric congenital heart defect care within the first year of diagnosis?BMC health services research · 2023Article
- Disparities in surgical outcomes of neonates with congenital heart disease across regions, centers, and populations.Seminars in perinatology · 2022Article
- Racial Disparities in Hospital Mortality Among Pediatric Cardiomyopathy and Myocarditis Patients.Pediatric cardiology · 2021Article
- Postoperative mortality in New Zealand following general anaesthetic: demographic patterns and temporal trends.BMJ open · 2020Article
- US Mortality Attributable to Congenital Heart Disease Across the Lifespan From 1999 Through 2017 Exposes Persistent Racial/Ethnic Disparities.Circulation · 2020Article
- Article
- Follow-up and Time to Treatment in an Urban Cohort of Children with Sleep-Disordered Breathing.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2018Article
- Healthcare Disparities in Outcomes of a Metropolitan Congenital Heart Surgery Center: The Effect of Clinical and Socioeconomic Factors.Journal of racial and ethnic health disparities · 2018Article
- Race and outcomes in gastroschisis repair: a nationwide analysis.Journal of pediatric surgery · 2017Article
- Policy solutions to recruiting and retaining minority children in research.Pediatric research · 2017Article
Corrections and comments
- Commented on by
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine if racial/ethnic disparities exist among children undergoing congenital heart surgery, using failure-to-rescue (FTR) as a measure of hospital-based quality. STUDY
designThis is a retrospective, repeated cross-sectional analysis using admissions from the 2003, 2006, and 2009 Kids' Inpatient Database. All pediatric admissions (≤ 18 years) with a Risk Adjustment for Congenital Heart Surgery procedure were included. Logistic regression models examining complications, FTR, and overall mortality were constructed.
resultsHispanic ethnicity (OR 1.13, 95% CI 1.01-1.26) was associated with increased odds of experiencing a complication when compared with white race. However, black race (OR 1.66, 95% CI 1.33-2.07) and other race/ethnicity (OR 1.40, 95% CI 1.10-1.79) were risk factors for FTR. Although Hispanic ethnicity was associated with increased odds of experiencing a complication, it was not associated with FTR. In hospital fixed-effects models, black race and other race/ethnicity remained as "within hospital" risk factors for FTR.
conclusionsBlack children and children of other race/ethnicity had higher rates of mortality after experiencing a complication. This suggests that racial disparities may exist in hospital-based cardiac care or response to care.
Indexed as
Identifiers
25556012What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.