- •Neighborhood-level socioeconomic disadvantage is linked to worse health outcomes.
- •Area Deprivation Index is a validated measure of neighborhood disadvantage.
- •Children from high ADI neighborhoods experience increased postoperative morbidity.
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.
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).
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.
Pediatric surgical patients from disadvantaged neighborhoods may experience worse postoperative outcomes irrespective of patient demographics and preoperative health status.
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Published online: February 04, 2023
Accepted: February 2, 2023
Received in revised form: January 13, 2023
Received: November 25, 2022
Publication stageIn Press Journal Pre-Proof
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