Acute cardiac care & resuscitation
Clinical Profiles and Outcomes of Adult Congenital Heart Disease Patients in the Cardiac Intensive Care Unit
Authors' conclusion
ACHD patients in the CICU experience high readmission rates and mortality.
Study context
- Population
- Cardiac intensive care unit (CICU) admissions at Mayo Clinic, 2007–2018
- Participants
- 12,428 unique CICU admissions
- Exposure
- Adult congenital heart disease (ACHD) vs non-ACHD CICU admissions
- ACHDn = 253
- Outcome
- In-hospital and 1-year mortality
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
ACHD
8.7%
22 of 253
ACHD vs Non-ACHDEstimate (95% CI)P value
In-hospital mortality
adjusted OR 1.76(1.01–2.94)
P = 0.041-year mortality
adjusted HR 1.42(1.06–1.89)
P = 0.02Observational data: associations, not effects.
Further findings
| Outcome | Values | P value |
|---|---|---|
| 1-year survival, by CCD (ACHD)CCD vs No CCD | CCD 64.1% · No CCD 87.5% | P < 0.001 |
| 1-year survival, by CCT (ACHD)CCT vs No CCT | CCT 68.5% · No CCT 84.5% | P = 0.001 |
Readmission within 1 year (ACHD hospital survivors)
- Hospital survivors readmitted within 1 year
- 101 (43.9%)
Original publication
Clinical Profiles and Outcomes of Adult Congenital Heart Disease Patients in the Cardiac Intensive Care Unit. JACC Adv. Published 30 April 2025. doi:10. 1016/ j. jacadv. 2025. 101710
Summarised from the published abstract; every number is checked against it