Nav: Home

Study finds black children face higher risk of death post surgery

January 16, 2018

Memphis, Tenn. - A recent study, Race, Preoperative Risk Factors, and Death After Surgery, has found that black children are more than twice as likely to die following surgery than white children and describes race-specific models to predict surgical outcomes. The study has been published online, and will be published in the February 2018 issue of Pediatrics.

Authors Oguz Akbilgic PhD, assistant professor at the University of Tennessee Health Science Center (UTHSC), Max Langham, MD, a pediatric surgeon at Le Bonheur Children's Hospital and professor of surgery and pediatrics and vice chairman of the Department of Surgery at UTHSC, and Robert Davis, MD, MPH, Governor's chair and professor and founding director of UTHSC-ORNL Center for Biomedical Informatics examined 30-day postoperative mortality for more than 260,000 surgical procedures performed for children from 2012 to 2015. The data were compiled from American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database and include patients from children's hospitals from across the nation. The authors developed race-specific models using preoperative risk factors to predict 30-day surgical mortality for black children versus white children.

They found a higher prevalence of risk factors for poor outcomes in black children that include ventilator use, oxygen support, wound infections, transfusions and neonatal status. The authors state that while they did not seek to assign or understand the cause of the increased risks of death following surgery, the use of race-specific models could more accurately identify patients at high risk for death following surgery as compared with models that examine all races grouped together. They suggest that interventions to decrease risks of death after surgery be tested within the context of race-specific risk strata to reduce the surgical mortality rate in black children.

Department Chair and pediatrician-in-chief Jonathan A. McCullers, MD sees this as an important milepost on the road to eliminating health disparities in surgical outcomes. "These data and the novel models derived from them will serve as critical tools to identify areas for intervention that we hope will eliminate some, if not all, of the disparities that arise from the poverty and limited access to comprehensive care for which black race is a marker not a cause."
-end-
About Le Bonheur Children's Hospital

Le Bonheur Children's Hospital in Memphis, Tenn., treats children each year through community programs, regional clinics and a 255 bed state-of-the-art hospital. Le Bonheur serves as a primary teaching affiliate for the University Tennessee Health Science Center and trains more than 350 pediatricians and specialists each year. Nationally recognized, Le Bonheur is ranked by U.S. News & World Report as a Best Children's Hospital.

For more information, please call (901) 287-6030 or visit lebonheur.org. Connect with us at facebook.com/lebonheurchildrens, twitter.com/lebonheurchild, on Instagram at lebonheurchildrens or Snapchat at lebonheur_child.

About the University of Tennessee Health Science Center

As Tennessee's only public, statewide, academic health system, the mission of the University of Tennessee Health Science Center (UTHSC) is to bring the benefits of the health sciences to the achievement and maintenance of human health, with a focus on the citizens of Tennessee and the region, by pursuing an integrated program of education, research, clinical care, and public service. Offering a broad range of postgraduate and selected baccalaureate training opportunities, the main UTHSC campus is located in Memphis and includes six colleges: Dentistry, Graduate Health Sciences, Health Professions, Medicine, Nursing and Pharmacy. UTHSC also educates and trains cohorts of medicine, pharmacy and/or health professions students -- in addition to medical residents and fellows -- at its major sites in Knoxville, Chattanooga and Nashville. Founded in 1911, during its more than 100 years, UT Health Science Center has educated and trained more than 57,000 health care professionals in academic settings and health care facilities across the state. For more information, visit http://www.uthsc.edu. Follow us on Facebook: facebook.com/uthsc, on Twitter: twitter.com/uthsc and on Instagram: instagram.com/uthsc.

Le Bonheur Children's Hospital

Related Children Articles:

Black children with cancer three times less likely to receive proton radiotherapy than White children
A retrospective analysis led by investigators from Brigham and Women's Hospital has found racial disparities in the use of the therapy for patients enrolled in trials.
The Lancet Child & Adolescent Health: First Europe-wide study of children confirms COVID-19 predominately causes mild disease in children and fatalities are very rare
Children with COVID-19 generally experience a mild disease and fatalities are very rare, according to a study of 582 patients from across Europe published today in The Lancet Child & Adolescent Health journal.
Children not immune to coronavirus; new study from pandemic epicenter describes severe COVID-19 response in children
- While most children infected with the novel coronavirus have mild symptoms, a subset requires hospitalization and a small number require intensive care.
How many children is enough?
Most Russians would like to have two children: a boy and a girl.
Preterm children have similar temperament to children who were institutionally deprived
A child's temperament is affected by the early stages of their life.
Only-children more likely to be obese than children with siblings
Families with multiple children tend to make more healthy eating decisions than families with a single child.
Children living in countryside outperform children living in metropolitan area in motor skills
Residential density is related to children's motor skills, engagement in outdoor play and organised sports. that Finnish children living in the countryside spent more time outdoors and had better motor skills than their age peers in the metropolitan area.
Hispanic and black children more likely to miss school due to eczema than white children
In a study that highlights racial disparities in the everyday impact of eczema, new research shows Hispanic and black children are more likely than white children to miss school due to the chronic skin disease.
Children, their parents, and health professionals often underestimate children's higher weight status
More than half of parents underestimated their children's classification as overweight or obese -- children themselves and health professionals also share this misperception, according to new research being presented at this year's European Congress on Obesity (ECO) in Glasgow, UK (April 28-May 1).
Children with autism are in 'in-tune' with mom's feelings like other children
New research addresses limitations of prior autism spectrum disorder (ASD) studies on facial emotion recognition by using five distinct facial emotions in unfamiliar and familiar (mom) faces to test the influence of familiarity in children with and without ASD.
More Children News and Children Current Events

Trending Science News

Current Coronavirus (COVID-19) News

Top Science Podcasts

We have hand picked the top science podcasts of 2020.
Now Playing: TED Radio Hour

Listen Again: The Power Of Spaces
How do spaces shape the human experience? In what ways do our rooms, homes, and buildings give us meaning and purpose? This hour, TED speakers explore the power of the spaces we make and inhabit. Guests include architect Michael Murphy, musician David Byrne, artist Es Devlin, and architect Siamak Hariri.
Now Playing: Science for the People

#576 Science Communication in Creative Places
When you think of science communication, you might think of TED talks or museum talks or video talks, or... people giving lectures. It's a lot of people talking. But there's more to sci comm than that. This week host Bethany Brookshire talks to three people who have looked at science communication in places you might not expect it. We'll speak with Mauna Dasari, a graduate student at Notre Dame, about making mammals into a March Madness match. We'll talk with Sarah Garner, director of the Pathologists Assistant Program at Tulane University School of Medicine, who takes pathology instruction out of...
Now Playing: Radiolab

What If?
There's plenty of speculation about what Donald Trump might do in the wake of the election. Would he dispute the results if he loses? Would he simply refuse to leave office, or even try to use the military to maintain control? Last summer, Rosa Brooks got together a team of experts and political operatives from both sides of the aisle to ask a slightly different question. Rather than arguing about whether he'd do those things, they dug into what exactly would happen if he did. Part war game part choose your own adventure, Rosa's Transition Integrity Project doesn't give us any predictions, and it isn't a referendum on Trump. Instead, it's a deeply illuminating stress test on our laws, our institutions, and on the commitment to democracy written into the constitution. This episode was reported by Bethel Habte, with help from Tracie Hunte, and produced by Bethel Habte. Jeremy Bloom provided original music. Support Radiolab by becoming a member today at Radiolab.org/donate.     You can read The Transition Integrity Project's report here.