Evidence map›Paper›PMID 40454242›Full record

ArticleFrontiers in cardiovascular medicine2025

Global, regional, and national epidemiology of congenital heart disease in children from 1990 to 2021.

Jiaoli Xu, Qinhong Li, Lili Deng, Jingxuan Xiong, Zugen Cheng, Caixia Ye

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. [Obesity during pregnancy is associated to congenital cardiopathies in the newborn].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
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  12. Article
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  15. Prediction of Cyanotic Congenital Heart Disease Risk in U.S. Births.Journal of cardiovascular development and disease · 2026
    Article
  16. Article
  17. Review
  18. Article
  19. Spectrum of Congenital Heart Diseases in Iraqi Patients.The Eurasian journal of medicine · 2026
    Article
  20. Article
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.

Jiaoli Xu *Department of Cardiology, Kunming Children's Hospital, Kunming, Yunnan, China.
Qinhong Li *Department of Cardiology, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Lili Deng *Department of Cardiology, Kunming Children's Hospital, Kunming, Yunnan, China.
Jingxuan XiongDepartment of Respiratory Medicine, Kunming Children's Hospital, Kunming, Yunnan, China.
Zugen ChengDepartment of Cardiology, Kunming Children's Hospital, Kunming, Yunnan, China.
Caixia YeDepartment of Pediatrics, Yunyang Women and Children's Hospital (Yunyang Maternal and Child Health Hospital), Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Congenital heart disease (CHD) is a leading cause of morbidity and mortality in children globally, with significant variations in outcomes across different regions. Objective: To provide comprehensive estimates of CHD prevalence, mortality, and disability-adjusted life years (DALYs) among children under five years old globally from 1990 to 2021. Methods: Using data from the Global Burden of Disease (GBD) study, trends in CHD prevalence, mortality, and DALYs were analyzed. Mortality estimates were generated using Cause of Death Ensemble modeling, while prevalence and DALYs were estimated using DisMod-MR 2.1. Systematic literature reviews informed the disability estimates. Results: In 2021, the global prevalence of CHD in children under five years was over 4.18 million, reflecting a 3.4% increase since 1990. CHD-associated mortality decreased by 56.2%, and DALYs declined by 55.7% from 1990 to 2021. Low and low-middle Socio-Demographic Index (SDI) regions experienced the highest prevalence and mortality rates. South Asia had the highest number of CHD cases, while Oceania had the highest mortality and DALY rates. India had the highest number of cases, while Afghanistan had the highest mortality and DALY rates. Conclusions: CHD remains a significant global health challenge, with substantial disparities in disease burden across regions. Targeted interventions are needed to improve survival and quality of life, particularly in high-burden areas.

Indexed as

childhoodcongenital heart diseaseDALYs—disability-adjusted life yearsmortalityprevalence

Identifiers

PMID40454242
PMCPMC12122482

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Registered trials

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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.