• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Pediatrics

Racial differences in postoperative outcomes among otherwise healthy children

byLuv Makadia, MDandLeah Carr, MD
July 20, 2020
in Pediatrics, Public Health, Surgery
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Through a retrospective analysis, researchers found that healthy African American children, when compared to healthy white children, had higher rates of 30-day postoperative mortality.

2. Healthy African American children, when compared to healthy white children, were more likely to suffer postoperative complications including significant adverse effects, bleeding requiring transfusion, sepsis, unplanned reoperation, unplanned tracheal reintubation, and surgical wound complications.

Evidence Rating Level: 2 (Good)

Study Rundown: African American children are known to have greater postoperative morbidity and mortality when compared to white children, but this difference was thought to be secondary to greater preoperative morbidity among African American children. Prior to this work, no study has examined the potential racial difference in postoperative morbidity and mortality among healthy children. To address this gap, researchers in the current study completed a retrospective analysis of data among healthy children undergoing surgical procedures. The study found that healthy African American children, when compared to healthy white children, had higher rates of 30-day postoperative mortality as well as higher rates of multiple postoperative complications. This study was strengthened by use of a robust surgical database that is nationally representative and includes 186 medical centers across the United States. However, the study does not take into account any between-site differences in care delivery regarding race, therefore not accounting for potential variation in quality received. This study highlights racial disparities associated with surgical care outcomes, which should be further investigated to aid in preventative efforts.

Click to read the study, published today in Pediatrics

Relevant Reading: Development and Evaluation of the American College of Surgeons NSQIP Pediatric Surgical Risk Calculator

In-Depth [retrospective cohort study]: Patient information was obtained from The American College of Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-P) database. Children who were 17 years of age and younger who had inpatient surgeries from 2012 to 2017 were included for analysis. The NSQIP-P reports risk-adjusted surgical outcomes from 186 medical centers across the United States. Children were identified as healthy or with only mild systemic disease as denoted by American Society of Anesthesiologists (ASA) physical status 1 or 2 classification. A total of 172 549 children met inclusion criteria. 11.4% of the children were African American and 70.1% were white. 73.5% of the African American children were ASA class 2, whereas 68.2% of white children were ASA class 2. The distribution of age, gender, and preoperative comorbidities were overall similar between the two groups. The primary outcome studied was 30-day postoperative mortality and the secondary outcomes were overall 30-day postoperative complications and serious adverse events, which included cardiac arrest, sepsis, readmission, and reoperation. African American children, when compared to white children, had higher rates of postoperative 30-day mortality (0.07% vs. 0.02%; crude odds ratio [cOR] 3.48 with 95%CI 1.76-6.87), composite postoperative complications (16.87% vs. 13.80%; cOR 1.27 with 95%CI 1.22-1.32), and composite serious adverse events (6.17% vs. 5.71%; cOR 1.08 with 95%CI 1.02-1.15). Additionally, African American children had statistically significant higher rates of postoperative bleeding requiring transfusion (9.91% vs. 6.90%), sepsis (0.48% vs. 0.37%), unplanned reoperation (2.95% vs. 2.47%), unplanned tracheal reintubation (0.32% vs. 0.18%), organ surgical site infection (1.15% vs. 1.13%), superficial surgical site infection (0.99% vs. 0.94%), and surgical wound dehiscence (0.31% vs. 0.30%, p < .05 for all comparisons).

RELATED REPORTS

#VisualAbstract: Skin cancer risk factors and screening differ among Asian American individuals

#VisualAbstract: Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations

Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations

 Image: PD

©2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: Postoperative complicationsracial disparities
Previous Post

Daily oral probiotic combination not effective at reducing antibiotic use for all-cause infection among care home residents

Next Post

2 Minute Medicine Rewind July 20, 2020

RelatedReports

#VisualAbstract: Skin cancer risk factors and screening differ among Asian American individuals
StudyGraphics

#VisualAbstract: Skin cancer risk factors and screening differ among Asian American individuals

February 5, 2022
#VisualAbstract: Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations
StudyGraphics

#VisualAbstract: Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations

January 6, 2022
Addressing non-obesity related barriers may improve bariatric surgery effectiveness
Infectious Disease

Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations

December 29, 2021
#VisualAbstract: Pericardiotomy after cardiac surgery may reduce the incidence of postoperative atrial fibrillation
StudyGraphics

#VisualAbstract: Pericardiotomy after cardiac surgery may reduce the incidence of postoperative atrial fibrillation

December 22, 2021
Next Post
Luspatercept in Patients with Lower-Risk Myelodysplastic Syndromes 

2 Minute Medicine Rewind July 20, 2020

Characterization of gut contractility and microbiota in patients with severe chronic constipation

Characterization of gut contractility and microbiota in patients with severe chronic constipation

Characterization of gut contractility and microbiota in patients with severe chronic constipation

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Combined genetic testing of cardiomyopathies and arrhythmias increases diagnostic yield to inform patient management
  • Provision of 1-year mortality data for patients hospitalized with heart failure does not influence clinical decision-making – The REVEAL-HF trial
  • Genetic risk for hemochromatosis associated with abnormal iron deposition localized to motor circuits of the brain
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.