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How often is congenital heart disease recognized as a significant comorbidity among hospitalized adults with congenital heart disease?

Abstract：

BACKGROUND:Despite 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. METHODS:Data 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≥18years old with an ICD-9 code for a CHD diagnosis noted at discharge during any hospitalization. RESULTS:These 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. CONCLUSIONS:CHDs 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.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Robbins JM,Onukwube J,Goudie A,Collins RT 2nd

doi

10.1016/j.ijcard.2017.02.100

subject

Has Abstract

pub_date

2017-05-15 00:00:00

pages

42-48

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(17)31130-0

journal_volume

235

pub_type

杂志文章

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