Socioeconomic disadvantage and pediatric surgical outcomes.
Am J Surg
; 225(5): 891-896, 2023 05.
Article
em En
| MEDLINE
| ID: mdl-36754749
ABSTRACT
INTRODUCTION:
The impact of socioeconomic status on surgical outcomes has not been well-studied in children. Area Deprivation Index (ADI) is a validated measure of neighborhood-level socioeconomic disadvantage.METHODS:
A retrospective analysis of surgical patients ages 0-21 years was performed at a quaternary pediatric hospital from 1/1/2016-12/31/2020. Logistic regression was used to assess the relationship between ADI, 30-day postoperative mortality and serious adverse events (SAE).RESULTS:
Among 56,655 patients, the incidence of 30-day mortality and SAE were 0.3% and 8.9%. On univariable regression, patients from higher state ADI neighborhoods had increased odds of 30-day postoperative mortality and SAE. After controlling for covariates, patients from a neighborhood with state ADI ranks of 9 and 10 had 24% (95% CI 1.06-1.45) and 27% (95% CI 1.08-1.49) increased odds of experiencing SAE.DISCUSSION:
Pediatric surgical patients from disadvantaged neighborhoods may experience worse postoperative outcomes irrespective of patient demographics and preoperative health status.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Nível de Saúde
/
Disparidades Socioeconômicas em Saúde
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Humans
/
Infant
/
Newborn
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2023
Tipo de documento:
Article