Pediatric anesthesia & critical care
Hospital Volume and Noncardiac Surgery Outcomes for Patients With Congenital Heart Disease
Main finding · In-hospital mortalityResult — go to the resultAdjusted odds ratio 1.14 95% CI 1.01–1.3Authors' conclusion
In-hospital mortality is higher for patients with CHD undergoing noncardiac surgery at mid-volume centers; length of stay demonstrates a more variable pattern.
Study context
- Population
- Inpatients undergoing noncardiac procedures, Pediatric Health Information System (2016–2023)617,396 no congenital heart disease (CHD)
- Participants
- 662,680 inpatients
- Exposure
- Hospital volume quintiles
- Outcome
- In-hospital mortality
Methodological detailsPediatric Health Information System database, multivariable analysis
- Pediatric Health Information System database
- Multivariable analysis
Main finding
As reported in the abstract
Adjusted odds ratio
1.14
95% CI 1.01–1.3
P = 0.034
By group
Quintile 3
0.83%
Quintile 3
aOR 1.14 (95% CI 1.01–1.3); P = 0.034
- Mortality highest in quintile 3 among the full cohort
- P < 0.001
Observational data: associations, not effects.
Further findings
- Mortality, non-CHD cohort — Quintile 3
- 0.56%
- Mortality, complex CHD cohort — Quintile 3
- 6.28%
- Mortality, non-CHD cohort — Highest in quintile 3
- p = 0.009
- Mortality, complex CHD cohort — Highest in quintile 3
- p = 0.024
In-hospital mortality, simple and single-ventricle lesions
- Similar across quintiles
LOS
- Longest LOS varied: quintile 3 (simple), quintile 1 (complex), quintiles 2 and 3 (single ventricle)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Hospital Volume and Noncardiac Surgery Outcomes for Patients With Congenital Heart Disease. J Cardiothorac Vasc Anesth. Published 8 October 2025. doi:10.
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