Disparities in surgical outcomes of neonates with congenital heart disease across regions, centers, and populations

Flora Nuñez Gallegos, Joyce L. Woo, Brett R. Anderson, Keila N. Lopez*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To summarize existing literature on neonatal disparities in congenital heart disease surgical outcomes and identify potential policies to address these disparities. Finding: Disparities in outcomes for neonatal congenital heart surgery were largely published under four domains: race/ethnicity, insurance type, neighborhood/socioeconomic status, and cardiac center characteristics. While existing research identifies associations between these domains and mortality, more nuanced analyses are emerging to understand the mediators between these domains and other non-mortality outcomes, as well as potential interventions and policies to reduce disparities. A broader look into social determinants of health (SDOH), prenatal diagnosis, proximity of birth to a cardiac surgical center, and post-surgical outpatient and neurodevelopmental follow-up may accelerate interventions to mitigate disparities in outcomes. Conclusion: Understanding the mechanisms of how SDOH relate to neonatal surgical outcomes is paramount, as disparities research in neonatal congenital heart surgery continues to shift from identification and description, to intervention and policy.

Original languageEnglish (US)
Article number151581
JournalSeminars in Perinatology
Volume46
Issue number4
DOIs
StatePublished - Jun 2022

Keywords

  • Congenital Heart Disease
  • Social Determinants of Health
  • congenital heart surgery
  • health disparities
  • neonatal

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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