Race, Postoperative Complications, and Death in Apparently Healthy Children

Pediatrics
Olubukola O NafiuJoseph D Tobias

Abstract

That African American (AA) patients have poorer surgical outcomes compared with their white peers is established. The prevailing presumption is that these disparities operate within the context of a higher preoperative comorbidity burden among AA patients. Whether these racial differences in outcomes exist among apparently healthy children (traditionally expected to have low risk of postsurgical complications) has not been previously investigated. We performed a retrospective study by analyzing the National Surgical Quality Improvement Program-Pediatric database from 2012 through 2017 and identifying children who underwent inpatient operations and were assigned American Society of Anesthesiologists physical status 1 or 2. We used univariable and risk-adjusted logistic regression to estimate the odds ratios and their 95% confidence intervals (CIs) of postsurgical outcomes comparing AA to white children. Among 172 549 apparently healthy children, the incidence of 30-day mortality, postoperative complications, and serious adverse events were 0.02%, 13.9%, and 5.7%, respectively. Compared with their white peers, AA children had 3.43 times the odds of dying within 30 days after surgery (odds ratio: 3.43; 95% CI: 1.73-6.79). Compared...Continue Reading

Citations

Oct 29, 2020·Journal of the American Heart Association·Zachary Obinna Enumah
Feb 3, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Matthew M SmithJareen Meinzen-Derr
Jan 5, 2021·Current Opinion in Pediatrics·Nicola BrodieElizabeth A Silberholz
Dec 18, 2020·Anesthesia and Analgesia·Brittany L WillerOlubukola O Nafiu
Feb 17, 2021·Anesthesia and Analgesia·Viviane G Nasr, James A DiNardo
Jan 5, 2021·Current Opinion in Pediatrics·Nicola BrodieElizabeth A Silberholz
Mar 30, 2021·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Kristin H Gigli
Apr 14, 2021·The Journal of Surgical Research·Christian MpodyOlubukola O Nafiu
Jun 26, 2021·Surgery·Ryan J PowersKyle J Van Arendonk
Jul 9, 2021·Obstetrics and Gynecology·Monique McKieverKartik K Venkatesh
Aug 19, 2021·JAMA Surgery·Richard C MadukaGurjit Sandhu
Sep 4, 2021·World Neurosurgery·George ThomasJonathan H Sherman

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