Characteristics and Outcomes of Adults With Congenital Heart Disease in the Cardiac Intensive Care Unit

Autor: Ryan R. Keane, MD, Anthony P. Carnicelli, MD, Daniel B. Loriaux, MD, Payton Kendsersky, MD, Richard A. Krasuski, MD, Kelly M. Brown, BSN, Kelly Arps, MD, Vivian Baird-Zars, MPH, Jeffrey A. Dixson, MD, Emily Echols, Christopher B. Granger, MD, Robert W. Harrison, MD, Michael Kontos, MD, L. Kristin Newby, MD, MHS, Jeong-Gun Park, PhD, Kevin S. Shah, MD, Bradley W. Ternus, MD, Sean Van Diepen, MD, Jason N. Katz, MD, MHS, David A. Morrow, MD, MPH
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JACC: Advances, Vol 3, Iss 8, Pp 101077- (2024)
Druh dokumentu: article
ISSN: 2772-963X
DOI: 10.1016/j.jacadv.2024.101077
Popis: Background: Little is known regarding the characteristics, treatment patterns, and outcomes in patients with adult congenital heart disease (ACHD) admitted to cardiac intensive care units (CICUs). Objectives: The authors sought to better define the contemporary epidemiology, treatment patterns, and outcomes of ACHD admissions in the CICU. Methods: The Critical Care Cardiology Trials Network is a multicenter network of CICUs in North America. Participating centers contributed prospective data from consecutive admissions during 2-month annual snapshots from 2017 to 2022. We analyzed characteristics and outcomes of admissions with ACHD compared with those without ACHD. Multivariable logistic regression was used to assess mortality in ACHD vs non-ACHD admissions. Results: Of 23,299 CICU admissions across 42 sites, there were 441 (1.9%) ACHD admissions. Shunt lesions were most common (46.1%), followed by right-sided lesions (29.5%) and complex lesions (28.7%). ACHD admissions were younger (median age 46 vs 67 years) than non-ACHD admissions. ACHD admissions were more commonly for heart failure (21.3% vs 15.7%, P
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