The Impact of Risk Score Use in Predicting Serious Adverse Events During Cardiac Catheterization Procedures in...

Area of Science:

• Pediatric Cardiology
• Interventional Cardiology
• Medical Device Technology

Background:

• Congenital heart disease management often necessitates cardiac catheterization.
• Risk stratification systems are crucial for intervention planning and complication prediction.

Purpose of the Study:

• To evaluate the utility of risk scores in grading pediatric cardiac catheterization procedures.
• To assess the predictive value of these scores for serious adverse events (SAEs).

Main Methods:

• Retrospective analysis of 700 pediatric patients undergoing cardiac catheterization (2023-2025).
• Data collected included demographics, procedure details, Catheterization Risk in Pediatrics Score (CRISP), and SAEs.
• Statistical analysis was performed to correlate CRISP scores with SAE incidence.

Main Results:

• 58% of patients had single-ventricle physiology; 72% underwent interventional procedures.
• The median CRISP score was 8. SAEs occurred in 7.7% of patients, primarily arrhythmia-related.
• SAE incidence increased significantly with higher CRISP scores and categories (AUC 0.84, p < 0.05).

Conclusions:

• The Catheterization Risk in Pediatrics Score (CRISP) is an effective tool for risk classification in pediatric cardiac catheterization.
• CRISP demonstrates strong predictive value for SAE occurrence.
• Utilizing CRISP can enhance pre- and post-catheterization care planning, positively impacting patient outcomes.