How often is congenital heart disease recognized as a significant comorbidity among hospitalized adults with congenital heart disease?
How often is congenital heart disease recognized as a significant comorbidity among hospitalized adults with congenital heart disease?
复制标题
在患有先天性心脏病的住院成人中，先天性心脏病被认为是一种重要的合并症的频率有多高？
DOI：
10.1016/j.ijcard.2017.02.100
复制
发表时间：
2017
影响因子：
3.5
通讯作者：
Collins2nd,RThomas
中科院分区：
文献类型：
--
作者：
Robbins,JamesM;Onukwube,Jennifer;Goudie,Anthony;Collins2nd,RThomas
BackgroundDespite frequent life-long hemodynamic and electrophysiologic abnormalities, adults with congenital heart defects (CHDs) are often lost to medical follow-up. Using a cohort of adults with CHD receiving hospital care in Arkansas, we sought to determine how often a CHD is recognized and coded during hospital admissions.MethodsData for this study come from the Agency for Healthcare Research and Quality's Arkansas State Inpatient Database (SID) for years 2004 to 2012. Using unique identifiers that link patients across hospitalizations, we created a cohort of 3973 patients ≥ 18 years old with an ICD-9 code for a CHD diagnosis noted at discharge during any hospitalization.ResultsThese 3973 patients had 19,638 hospitalizations. A CHD was listed as the principal diagnosis in 3% of hospitalizations, a secondary diagnosis in 22%, and no CHD was listed in 75% of hospitalizations. Among patients with a critical CHD, no critical CHD was noted in 69% of hospitalizations. Cardiovascular events (heart failure, arrhythmias, cerebrovascular accidents, embolic event, or death) occurred in 60% of hospitalizations of critical CHD patients wherein no critical CHD was recorded.ConclusionsCHDs are rarely acknowledged during hospitalizations of adults with a known CHD even when cardiovascular events occur. Improved awareness, disclosure and attention to comorbid CHDs among patients and providers may improve hospital management and outcomes of cardiovascular events.
