Evidence map›Paper›PMID 33890132›Full record

ArticlePediatric cardiology2021

Causes of Death in Infants and Children with Congenital Heart Disease.

Jason L Williams, Rachel D Torok, Alfred D'Ottavio, Tracy Spears, Karen Chiswell, Nina E Forestieri, Charlie J Sang, Joseph A Paolillo, Michael J Walsh, Timothy M Hoffman and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 18 citations in OpenAlex.

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  11. Journal of cardiovascular development and disease · 2023
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  15. Identification ofDiagnostics (Basel, Switzerland) · 2022
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  16. A novelExperimental and therapeutic medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Jason L WilliamsDepartment of Pediatrics, Division of Pediatric Cardiology, Duke University Medical Center, Box 3090, Durham, NC, 27710, USA.ORCID http://orcid.org/0000-0003-4165-6463
Rachel D TorokDepartment of Pediatrics, Division of Pediatric Cardiology, Duke University Medical Center, Box 3090, Durham, NC, 27710, USA.ORCID http://orcid.org/0000-0002-8406-2107
Alfred D'OttavioDuke Clinical Research Institute, Duke University Medical Center, Box 3090, Durham, NC, 27710, USA.
Tracy SpearsDuke Clinical Research Institute, Duke University Medical Center, Box 3090, Durham, NC, 27710, USA.ORCID http://orcid.org/0000-0002-7169-5853
Karen ChiswellDuke Clinical Research Institute, Duke University Medical Center, Box 3090, Durham, NC, 27710, USA.ORCID http://orcid.org/0000-0002-0279-9093
Nina E ForestieriNorth Carolina Division of Public Health, Birth Defects Monitoring Program, State Center for Health Statistics, Raleigh, NC, USA.
Charlie J SangDepartment of Pediatrics, Division of Pediatric Cardiology, Vidant Medical Center, Greenville, NC, USA.
Joseph A PaolilloSanger Heart and Vascular Institute, Atrium Health, Charlotte, NC, USA.ORCID http://orcid.org/0000-0003-0726-1337
Michael J WalshDepartment of Pediatrics, Division of Pediatric Cardiology, Wake Forest Baptist Health, Winston-Salem, NC, USA.
Timothy M HoffmanDepartment of Pediatrics, Division of Pediatric Cardiology, University of North Carolina Medical Center, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-7715-8197
Alex R KemperDepartment of Pediatrics, Division of Primary Care Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-5491-3997
Jennifer S LiDepartment of Pediatrics, Division of Pediatric Cardiology, Duke University Medical Center, Box 3090, Durham, NC, 27710, USA. jennifer.li@duke.edu.ORCID http://orcid.org/0000-0002-3254-1712
Clinical Research Institute · USDuke Medical Center · USAtrium Health Wake Forest Baptist · USDuke University · USLevine Cancer Institute · USNationwide Children's Hospital · USNorth Carolina Division of Public Health · USUniversity of North Carolina at Chapel Hill · USVidant Medical Center · US

Funding

CDC HHS NU50DD004933-03-00
6 · The paper itself

Abstract

With improved surgical outcomes, infants and children with congenital heart disease (CHD) may die from other causes of death (COD) other than CHD. We sought to describe the COD in youth with CHD in North Carolina (NC). Patients from birth to 20 years of age with a healthcare encounter between 2008 and 2013 in NC were identified by ICD-9 code. Patients who could be linked to a NC death certificate between 2008 and 2016 were included. Patients were divided by CHD subtypes (severe, shunt, valve, other). COD was compared between groups. Records of 35,542 patients < 20 years old were evaluated. There were 15,277 infants with an annual mortality rate of 3.5 deaths per 100 live births. The most frequent COD in infants (age < 1 year) were CHD (31.7%), lung disease (16.1%), and infection (11.4%). In 20,265 children (age 1 to < 20 years), there was annual mortality rate of 9.7 deaths per 1000 at risk. The most frequent COD in children were CHD (34.2%), neurologic disease (10.2%), and infection (9.5%). In the severe subtype, CHD was the most common COD. In infants with shunt-type CHD disease, lung disease (19.5%) was the most common COD. The mortality rate in infants was three times higher when compared to children. CHD is the most common underlying COD, but in those with shunt-type lesions, extra-cardiac COD is more common. A multidisciplinary approach in CHD patients, where development of best practice models regarding comorbid conditions such as lung disease and neurologic disease could improve outcomes in this patient population.

Indexed as

AdolescentCause of DeathChildChild, PreschoolFemaleHeart Defects, CongenitalHumansInfantInfant, NewbornMaleNorth CarolinaYoung AdultAnomaliesCongenital heart diseaseDeath

Identifiers

PMID33890132
OpenAlexW3156982661

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.