Key result
Sociodemographic factors influence survival and neurodevelopment after neonatal heart surgery, warranting inclusion in risk models.
Why the study?
Potential disparities associated with race, ethnicity, gender, and socioeconomic status should be considered in models for survival and neurodevelopmental outcomes after neonatal congenital heart surgery because they affect postsurgical mortality through access and location of care.
Sociodemographic factors such as race, ethnicity, gender, and socioeconomic status significantly impact survival and neurodevelopmental outcomes after neonatal heart surgery and should be incorporated into surgical risk models.
Health disparities are “differences in the quality of health and health care across different populations.” Potential disparities associated with race, ethnicity, gender, and socioeconomic status should be considered when attempting to develop models for survival and neurodevelopmental outcomes in neonates undergoing congenital heart surgery. Each of the aforementioned sociodemographic factors is related to postsurgical mortality because they are frequently linked to measures of access to care in addition to location of care (geographically) and the type of institution (teaching vs. nonteaching) where patients receive care. Traditionally these factors have not been considered in models of surgical treatment outcomes in conditions such as hypoplastic left heart syndrome. However, we believe these factors should at least be included in risk analysis models to help explain their impact on outcomes and in predicting outcomes. Therefore, the purpose of this article is to highlight some of the nonsurgical influences that affect survival after neonatal heart surgery such as race, ethnicity, gender, and socioeconomic status.
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Sistino et al. (2011) conducted a review in Congenital heart disease requiring neonatal heart surgery (e.g., hypoplastic left heart syndrome). Sociodemographic factors (race, ethnicity, gender, socioeconomic status) was evaluated. Sociodemographic factors including race, ethnicity, gender, and socioeconomic status significantly influence survival and neurodevelopmental outcomes after neonatal heart surgery and should be included in risk analysis models.
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