Evidence map›Paper›PMID 34900562›Full record

ArticleGlobal heart2021

A Population Health Approach to Address the Burden of Congenital Heart Disease in Kerala, India.

Sreehari M Nair, Bistra Zheleva, Adriana Dobrzycka, Peter Hesslein, Rajeev Sadanandan, R Krishna Kumar

Open access · goldAbstract read
In one paragraph

Article in Global heart, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Care pathways for pediatric surgical conditions.World journal of pediatric surgery · 2026
    Article
  10. Article
  11. Surgery for congenital heart disease in Pakistan-the challenges and solutions.Indian journal of thoracic and cardiovascular surgery · 2025
    Review
  12. Global inequity in pediatric and congenital heart care-is it economics or inertia?Indian journal of thoracic and cardiovascular surgery · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Observational
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  19. Article
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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

6 authors at 4 institutions in 3 countries.

Sreehari M NairNational Health Mission, Kerala, Thiruvananthapuram, IN.
Bistra ZhelevaChildren's HeartLink, Minneapolis, Minnesota, US.ORCID 0000-0002-3209-0261
Adriana DobrzyckaChildren's HeartLink, Minneapolis, Minnesota, US.
Peter HessleinChildren's HeartLink, Minneapolis, Minnesota, US.
Rajeev SadanandanHealth Systems Transformation Platform, Delhi, IN.
R Krishna KumarDepartment of Pediatric Cardiology, Amrita Institute of Medical Sciences, Amrita Viswa Vidyapeetham, Kochi, IN.
Children's Heart Center Nevada · USAmrita Institute of Medical Sciences and Research Centre · INBC Platforms (Finland) · FINational Centre for Earth Science Studies · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Congenital heart disease (CHD) has emerged as a leading contributor to infant mortality in many low-and middle-income countries (LMICs). We report early results of a population health program for CHD, implemented in the state of Kerala, India. Objective: Report on early results of a population-based program implementation in a LMIC to reduce mortality from CHD. Methods: We retrospectively analyzed the results of an innovative population-based program to address CHD. We devised, implemented and evaluated measures in the care continuum to address deficiencies in CHD care in Kerala, India, through structured capacity building initiatives that enabled early detection, prompt stabilization and expedited referral to a tertiary center. A comprehensive web-based application enabled real-time case registration, prioritization of treatment referrals, and tracking every child registered with CHD. Advanced pediatric heart care was delivered through a public-private partnership. Results: Early identification, referral, and treatment of infants with CHD were improved. The web-based application, ' Conclusion: We demonstrate successful implementation of a population-based and real-time approach to reduce CHD mortality. We speculate that

Indexed as

Heart Defects, CongenitalPopulation HealthChildHealth PromotionHumansIndiaInfantInfant MortalityRetrospective StudiesCongenital heart diseaseCongenital Heart SurgeryNewborn ScreeningPopulation health

Identifiers

PMID34900562
PMCPMC8533661
OpenAlexW3207936931

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.