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Hospitalizations in adult patients with congenital heart disease: an emerging challenge

Despoina Ntiloudi1, Konstantinos Dimopoulos2, Aphrodite Tzifa3,4

  • 1Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, St. Kyriakidi str 1, 546 36, Thessaloniki, Greece.

Heart Failure Reviews
|September 11, 2020
PubMed

Insights

Adults with congenital heart disease (ACHD) face frequent hospitalizations due to complications like heart failure (HF). Identifying hospitalization predictors is crucial for timely interventions and improved outcomes in this growing population.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease (ACHD)

Background:

  • Most patients with congenital heart disease (CHD) now survive into adulthood, leading to a growing population of adults with CHD (ACHD).
  • ACHD patients experience lifelong complications, frequently necessitating hospital admissions.
  • Heart failure (HF) is a primary driver of morbidity and mortality in ACHD, increasing healthcare system burden.

Purpose of the Study:

  • To review current literature on hospitalization patterns in ACHD patients.
  • To focus on heart failure (HF)-related admissions and specific diagnostic subgroups within the ACHD population.
  • To understand predictors of hospitalization and in-hospital mortality in ACHD.

Main Methods:

  • Literature review of hospitalization patterns in ACHD.
  • Analysis of factors contributing to increased admissions, including HF, mild lesions, comorbidities, and pregnancies.
  • Examination of in-hospital mortality rates and their predictors.

Main Results:

  • Hospitalizations in ACHD are increasing, driven by HF, mild lesions, comorbidities, and pregnancies.
  • In-hospital mortality ranges from 0.8% to 6.1%.
  • HF-related hospitalizations are significant predictors of medium-term mortality in ACHD.

Conclusions:

  • Understanding ACHD hospitalization patterns is vital for healthcare providers.
  • Identifying patients at high risk for hospitalization and mortality is essential for treatment escalation and monitoring.
  • Further research into specific diagnostic subgroups and HF management in ACHD is warranted.

Keywords:
Adult congenital heart diseaseHeart failureHospitalization

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