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Contemporary Hospitalization Rate Among Adults With Complex Congenital Heart Disease.
Ari Cedars1, Lawrence Benjamin2, Ross Vyhmeister2
1Department of Cardiology, Baylor University Hospital, Dallas, TX, USA acedars97@gmail.com.
Summary
Adults with congenital heart disease face significantly higher hospitalization rates, mainly for cardiac issues. Identifying risk factors is crucial for improving outcomes in this growing patient population.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease
Background:
- Adult congenital heart disease (ACHD) hospitalizations are rising globally.
- Understanding ACHD hospitalization rates and risk factors is vital for patient care.
Purpose of the Study:
- To investigate hospitalization rates and identify risk factors for unplanned cardiac hospitalizations in adults with tetralogy of Fallot (TOF), transposition of the great arteries (TGA), and single ventricle (SV).
Main Methods:
- Retrospective analysis of ACHD patients diagnosed with TOF, TGA, or SV.
- Examined rates of mortality, annual hospitalizations, and patient-specific risk factors for unplanned cardiac hospitalizations.
Main Results:
- ACHD patients were hospitalized 4-8 times more frequently than the general US population (P < .001).
- Hospitalization rates varied: SV (0.72/pt-yr) > TOF (0.39/pt-yr) ≈ TGA (0.41/pt-yr).
- Excess hospitalizations were primarily cardiac-related; risk factors included specific diagnoses, comorbidities, and lifestyle choices.
Conclusions:
- Adults with complex congenital heart disease experience substantially higher hospitalization rates, predominantly for cardiac conditions.
- Further research is needed to validate findings and develop strategies to improve outcomes for this expanding demographic.
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