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Mortality in CHD-Related HF in Children

Am Heart J; ePub 2018 Dec 5; Burstein, et al

Advanced heart failure (AHF) in children with congenital heart disease (CHD) is uncommon but increasing and is associated with significant morbidity, mortality, and resource utilization, a recent study found. All hospitalization in the Pediatric Health Information System database involving patients aged ≤21 years with a CHD diagnosis and HF requiring at least 7 days of continuous inotropic support between 2004 and 2015 were included. Researchers found:

  • Of 485,482 CHD hospitalization, AHF was present in 2,712 (0.6%).
  • Approximately 1 in 5 children do not survive to hospital discharge.
  • Over the 11-year study period, despite the significant increase in CHD-related AHF hospitalizations, hospital mortality increased.
  • Median hospital costs were $252,000, a 6-fold increase above those without AHF.

Citation:

Burstein DS, Shamszad P, Dai D, et al. Significant mortality, morbidity and resource utilization associated with advanced heart failure in congenital heart disease in children and young adults. [Published online ahead of print December 5, 2018]. Am Heart J. doi:10.1016/j.ahj.2018.11.010.

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