Evidence map›Paper›PMID 41390168›Full record

ArticleArchives of disease in childhood2026

Postoperative complications after paediatric cardiac surgery: the role of ethnicity and deprivation - a national cohort study.

Hannah K Mitchell, Meriam Abdelmoumene, Ferran Espuny-Pujol, Gareth Ambler, Julie Taylor, Rodney C G Franklin, Christina Pagel, Sonya Crowe, Katherine Brown

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of disease in childhood, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

  1. 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

9 authors.

Hannah K MitchellUCL GOS Institute of Child Health, London, UK hannahkmitchell@gmail.com.ORCID 0000-0002-4153-7424
Meriam AbdelmoumeneUCL Medical School, London, UK.ORCID 0009-0004-6630-5381
Ferran Espuny-PujolDepartment of Computer Science, University of Reading, Reading, UK.ORCID 0000-0001-9085-7400
Gareth AmblerUniversity College London, London, UK.ORCID 0000-0002-5322-7327
Julie TaylorClinical Operational Research Unit, University College of London, London, UK.
Rodney C G FranklinPaediatric Cardiology Department, Royal Brompton and Harefield NHS Trust, London, UK.
Christina PagelClinical Operational Research Unit, University College of London, London, UK.ORCID 0000-0002-2857-1628
Sonya CroweClinical Operational Research Unit, University College of London, London, UK.ORCID 0000-0003-1882-5476
Katherine BrownGreat Ormond Street Hospital NHS Biomedical Research Centre London and Institute of Cardiovascular Science, Great Ormond Street Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-0729-4959

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo understand whether the risk of complications following paediatric cardiac surgery differs according to a child's ethnicity or the degree of residential deprivation.

methodsWe conducted a retrospective cohort study using data from the National Congenital Heart Disease Audit, including children younger than 18 years who underwent cardiac surgery between April 2015 and March 2022 across 10 paediatric cardiac surgical centres in England and Wales. We examined the occurrence of six defined postoperative complications and used previously reported descriptive models to account for case complexity. Multivariable analysis was used to assess the association between complications and individual ethnicity and socioeconomic deprivation.

resultsThere were 23 423 30-day postoperative episodes. Children of Asian ethnicity were more likely to have a functionally univentricular heart or congenital cardiac risk factors, while children of Black ethnicity were more likely to have Down syndrome and prematurity than children of the remaining ethnicities. Children from the most versus the least deprived areas had higher rates of congenital comorbidity, functionally univentricular heart, high illness severity and urgent operations. After adjusting for case complexity, children from high compared with low deprivation areas had greater odds of prolonged pleural effusion (p=0.05), extracorporeal life support (p=0.001) and unplanned reintervention within 30 days (p=0.04).

conclusionsGreater area deprivation in England is associated with increased preoperative medical complexity and a higher incidence of certain postoperative complications among children with congenital heart disease (CHD). Further research is needed to explore the relationship between ethnic background and perioperative outcomes in CHD and to develop pathways to improvement based on social factors.

Indexed as

Cardiac Surgical ProceduresEthnicityHeart Defects, CongenitalPostoperative ComplicationsSocial DeprivationAdolescentChildChild, PreschoolEnglandFemaleHumansIncidenceInfantInfant, NewbornMaleRetrospective StudiesCardiologyChild HealthEpidemiologyHealthcare DisparitiesPaediatrics

Identifiers

PMID41390168
PMCPMC13018760

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