Risk Factors Associated with Severe Adverse Events in Pediatric Cardiac Catheterization.

Area of Science:

• Cardiology
• Pediatric Medicine
• Interventional Cardiology

Background:

• Pediatric cardiac catheterization is vital for diagnosing and managing congenital heart diseases.
• While advantageous over surgery, it carries risks of adverse events.
• Risk factors for severe adverse events are not well-established, especially in Latin America.

Purpose of the Study:

• To identify risk factors for severe adverse events in pediatric cardiac catheterization.
• Focus on a hospital in southwestern Colombia.

Main Methods:

• Retrospective single-center study.
• Analyzed data from 986 pediatric patients (under 18) with congenital heart diseases.
• Utilized univariate, bivariate, and multivariate analyses.

Main Results:

• Incidence of severe adverse events was 2.07%.
• Multivariate analysis identified procedure scheduling and hemodynamic stability as significant risk factors.
• Increased risk associated with specific scheduling (2.32x) and instability (2.96x).

Conclusions:

• Procedure scheduling and pre-procedural hemodynamic stability are critical factors influencing severe adverse events.
• Optimizing patient clinical stability before catheterization is essential for patient safety.