Acute cardiac care & resuscitation
Characteristics and Outcomes of Adults With Congenital Heart Disease in the Cardiac Intensive Care Unit
Authors' conclusion
This study illustrates the unique aspects of the ACHD CICU admission.
Study context
- Population
- Admissions to cardiac intensive care units in the Critical Care Cardiology Trials Network, North America, 2017–2022
- Participants
- 23,299 admissions · 42 sites
- Exposure
- Adult congenital heart disease (ACHD) vs non-ACHD CICU admissions
- ACHDn = 441
- Outcome
- In-hospital mortality
Methodological detailsmulticenter, consecutive admissions, 2-month annual snapshots 2017–2022, multivariable logistic regression, Prospective data from consecutive admissions during 2-month annual snapshots
- Multicenter
- Consecutive admissions
- 2-month annual snapshots 2017–2022
- Multivariable logistic regression
- Prospective data from consecutive admissions during 2-month annual snapshots
Main finding
As reported in the abstract
Odds ratio
1.19
95% CI 0.89–1.59
P = 0.239
By group
ACHD vs Non-ACHD
OR 1.19 (95% CI 0.89–1.59); P = 0.239
Observational data: associations, not effects.
Further findings
Age
Admission reasons
HF
General medical problems
Atrial arrhythmias
Total hospital stay
P < 0.01
Median
| Outcome | ACHD | Non-ACHD | P value |
|---|---|---|---|
| Presenting SOFA score | 5.0 | 3.0 | P < 0.001 |
- Admission reasons: each P < 0.001
Lesion type among ACHD admissions
- Shunt lesions
- 46.1%
- Right-sided lesions
- 29.5%
- Complex lesions
- 28.7%
Original publication
Characteristics and Outcomes of Adults With Congenital Heart Disease in the Cardiac Intensive Care Unit. JACC Adv. Published 22 July 2024. doi:10.
Summarised from the published abstract; every number is checked against it