Cardiothoracic & vascular anesthesia
The Impact of Medicaid Expansion on Congenital Heart Surgery Outcomes: Data From the Society of Thoracic Surgeons Database
Authors' conclusion
There was an overall decline in congenital heart surgery mortality over time; however, states that expanded Medicaid eligibility did not experience a greater improvement in mortality relative to states that did not expand eligibility. Similarly, there was no significant difference in major complications or PLOS related to Medicaid expansion.
Study context
- Population
- Children 0 to 18 years undergoing cardiac surgery, Society of Thoracic Surgeons Congenital Heart Surgery Database, January 2010–December 2019
- Exposure
- Medicaid expansion vs nonexpansion states, before and after expansion
- Outcome
- Operative mortality, major complications and postoperative LOS (postoperative length of stay (PLOS))
Methodological detailsdifference-in-differences, multicentre registry
- Difference-in-differences
- Multicentre registry
Main finding
As reported in the abstract
Operative mortality, major complications, PLOS (difference-in-differences (DiD) interaction Medicaid expansion × post- vs preexpansion period)
Medicaid expansionOdds ratio (CI)P value
Operative mortality
1.12(0.95–1.32)
P = 0.161Major complications
0.99(0.90–1.09)
P = 0.770Observational data: associations, not effects.
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
The Impact of Medicaid Expansion on Congenital Heart Surgery Outcomes: Data From the Society of Thoracic Surgeons Database. Anesth Analg. Published 19 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →