Time trends in mortality of congenital heart disease in children aged 0–14 years: a global, regional, and national cohort analysis from 1990 to 2021 using the global burden of disease study

IntroductionCongenital heart disease (CHD) represents a significant global public health burden, with substantial variability in mortality rates across different regions and age groups.MethodsThis study utilized the Global Burden of Disease (GBD) database to examine trends in CHD-related mortality a...

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Main Authors: Jiaoli Xu, Qinhong Li, Jingxuan Xiong, Zugen Cheng, Lili Deng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1537671/full
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author Jiaoli Xu
Qinhong Li
Jingxuan Xiong
Zugen Cheng
Lili Deng
author_facet Jiaoli Xu
Qinhong Li
Jingxuan Xiong
Zugen Cheng
Lili Deng
author_sort Jiaoli Xu
collection DOAJ
description IntroductionCongenital heart disease (CHD) represents a significant global public health burden, with substantial variability in mortality rates across different regions and age groups.MethodsThis study utilized the Global Burden of Disease (GBD) database to examine trends in CHD-related mortality among children aged 0-14 from 1990 to 2021.ResultsWe report a 55.34% reduction in CHD-related deaths among children, with global mortality rates decreasing from 28.63 per 100,000 in 1990 to 11.06 per 100,000 in 2021. Notably, the decline in mortality was more pronounced in younger children, with the highest burden observed in the Low socio-demographic index (SDI) region, where CHD-related mortality rates remain disproportionately high. In contrast, the high SDI region experienced the greatest improvements in mortality reduction. Regional disparities are also evident, with South Asia bearing the highest number of CHD-related deaths, while Oceania exhibited the highest mortality rate.DiscussionThese trends underscore the need for continued global efforts to reduce CHD-related mortality, particularly in low-income regions, and to address the disparities in healthcare access and outcomes. Our findings highlight the ongoing challenges in pediatric cardiology and the need for targeted interventions to sustain improvements in CHD survival, especially for neonates and infants.
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spelling doaj-art-101a535394054a2d8f535ab4a6f4fdf22025-08-20T03:28:33ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.15376711537671Time trends in mortality of congenital heart disease in children aged 0–14 years: a global, regional, and national cohort analysis from 1990 to 2021 using the global burden of disease studyJiaoli Xu0Qinhong Li1Jingxuan Xiong2Zugen Cheng3Lili Deng4Department of Cardiology, Kunming Children's Hospital, Kunming, ChinaDepartment of Cardiology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Respiratory Medicine, Kunming Children's Hospital, Kunming, Yunnan, ChinaDepartment of Cardiology, Kunming Children's Hospital, Kunming, ChinaDepartment of Cardiology, Kunming Children's Hospital, Kunming, ChinaIntroductionCongenital heart disease (CHD) represents a significant global public health burden, with substantial variability in mortality rates across different regions and age groups.MethodsThis study utilized the Global Burden of Disease (GBD) database to examine trends in CHD-related mortality among children aged 0-14 from 1990 to 2021.ResultsWe report a 55.34% reduction in CHD-related deaths among children, with global mortality rates decreasing from 28.63 per 100,000 in 1990 to 11.06 per 100,000 in 2021. Notably, the decline in mortality was more pronounced in younger children, with the highest burden observed in the Low socio-demographic index (SDI) region, where CHD-related mortality rates remain disproportionately high. In contrast, the high SDI region experienced the greatest improvements in mortality reduction. Regional disparities are also evident, with South Asia bearing the highest number of CHD-related deaths, while Oceania exhibited the highest mortality rate.DiscussionThese trends underscore the need for continued global efforts to reduce CHD-related mortality, particularly in low-income regions, and to address the disparities in healthcare access and outcomes. Our findings highlight the ongoing challenges in pediatric cardiology and the need for targeted interventions to sustain improvements in CHD survival, especially for neonates and infants.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1537671/fullmortalitychildhoodcongenital heart disease (CHD)public healthGBD (global burden disease)
spellingShingle Jiaoli Xu
Qinhong Li
Jingxuan Xiong
Zugen Cheng
Lili Deng
Time trends in mortality of congenital heart disease in children aged 0–14 years: a global, regional, and national cohort analysis from 1990 to 2021 using the global burden of disease study
Frontiers in Public Health
mortality
childhood
congenital heart disease (CHD)
public health
GBD (global burden disease)
title Time trends in mortality of congenital heart disease in children aged 0–14 years: a global, regional, and national cohort analysis from 1990 to 2021 using the global burden of disease study
title_full Time trends in mortality of congenital heart disease in children aged 0–14 years: a global, regional, and national cohort analysis from 1990 to 2021 using the global burden of disease study
title_fullStr Time trends in mortality of congenital heart disease in children aged 0–14 years: a global, regional, and national cohort analysis from 1990 to 2021 using the global burden of disease study
title_full_unstemmed Time trends in mortality of congenital heart disease in children aged 0–14 years: a global, regional, and national cohort analysis from 1990 to 2021 using the global burden of disease study
title_short Time trends in mortality of congenital heart disease in children aged 0–14 years: a global, regional, and national cohort analysis from 1990 to 2021 using the global burden of disease study
title_sort time trends in mortality of congenital heart disease in children aged 0 14 years a global regional and national cohort analysis from 1990 to 2021 using the global burden of disease study
topic mortality
childhood
congenital heart disease (CHD)
public health
GBD (global burden disease)
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1537671/full
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