Characteristics and Outcomes of Heart Failure–Related Intensive Care Unit Admissions in Children With Cardiomyopathy

Abstract Objective The purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)–related intensive care unit (ICU) hospitalizations in children with cardiomyopathy (CM). Methods and Results A query of the Pediatric Health Information System database, a large ad...

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Published inJournal of cardiac failure Vol. 19; no. 10; pp. 672 - 677
Main Authors Shamszad, Pirouz, MD, Hall, Matthew, PhD, Rossano, Joseph W., MD, Denfield, Susan W., MD, Knudson, Jarrod D., MD, PhD, Penny, Daniel J., MD, PhD, Towbin, Jeffrey A., MD, Cabrera, Antonio G., MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2013
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Abstract Abstract Objective The purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)–related intensive care unit (ICU) hospitalizations in children with cardiomyopathy (CM). Methods and Results A query of the Pediatric Health Information System database, a large administrative and billing database of 43 tertiary children’s hospitals, was performed. A total of 17,309 HF-related ICU hospitalizations from 2005 to 2010 of 14,985 children ≤18 years old were analyzed. Of those, 2,058 (12%) hospitalizations for CM-HF in 1,599 (11%) children were identified. Classification into CM subtypes was not possible owing to database limitations. The number of yearly CM-HF hospitalizations significantly increased during the study period ( P  = .036). Overall mortality was 11%, and cardiac transplantation occurred in 20% of hospitalizations. Mechanical circulatory support (MCS) was used in 261 (13%) of hospitalizations. Renal failure, MCS, respiratory failure, sepsis, and vasoactive medications were associated with mortality on multivariable analysis. Significant comorbidities associated with these hospitalizations included arrhythmias in 42%, renal failure in 13%, cerebrovascular disease in 6%, and hepatic impairment in 5%. Conclusions HF-related ICU hospitalizations in children with cardiomyopathy are increasing. These children are at high risk for poor outcomes with an in-hospital mortality of 11%.
AbstractList OBJECTIVEThe purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)-related intensive care unit (ICU) hospitalizations in children with cardiomyopathy (CM).METHODS AND RESULTSA query of the Pediatric Health Information System database, a large administrative and billing database of 43 tertiary children's hospitals, was performed. A total of 17,309 HF-related ICU hospitalizations from 2005 to 2010 of 14,985 children ≤18 years old were analyzed. Of those, 2,058 (12%) hospitalizations for CM-HF in 1,599 (11%) children were identified. Classification into CM subtypes was not possible owing to database limitations. The number of yearly CM-HF hospitalizations significantly increased during the study period (P = .036). Overall mortality was 11%, and cardiac transplantation occurred in 20% of hospitalizations. Mechanical circulatory support (MCS) was used in 261 (13%) of hospitalizations. Renal failure, MCS, respiratory failure, sepsis, and vasoactive medications were associated with mortality on multivariable analysis. Significant comorbidities associated with these hospitalizations included arrhythmias in 42%, renal failure in 13%, cerebrovascular disease in 6%, and hepatic impairment in 5%.CONCLUSIONSHF-related ICU hospitalizations in children with cardiomyopathy are increasing. These children are at high risk for poor outcomes with an in-hospital mortality of 11%.
The purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)-related intensive care unit (ICU) hospitalizations in children with cardiomyopathy (CM). A query of the Pediatric Health Information System database, a large administrative and billing database of 43 tertiary children's hospitals, was performed. A total of 17,309 HF-related ICU hospitalizations from 2005 to 2010 of 14,985 children ≤18 years old were analyzed. Of those, 2,058 (12%) hospitalizations for CM-HF in 1,599 (11%) children were identified. Classification into CM subtypes was not possible owing to database limitations. The number of yearly CM-HF hospitalizations significantly increased during the study period (P = .036). Overall mortality was 11%, and cardiac transplantation occurred in 20% of hospitalizations. Mechanical circulatory support (MCS) was used in 261 (13%) of hospitalizations. Renal failure, MCS, respiratory failure, sepsis, and vasoactive medications were associated with mortality on multivariable analysis. Significant comorbidities associated with these hospitalizations included arrhythmias in 42%, renal failure in 13%, cerebrovascular disease in 6%, and hepatic impairment in 5%. HF-related ICU hospitalizations in children with cardiomyopathy are increasing. These children are at high risk for poor outcomes with an in-hospital mortality of 11%.
Abstract Objective The purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)–related intensive care unit (ICU) hospitalizations in children with cardiomyopathy (CM). Methods and Results A query of the Pediatric Health Information System database, a large administrative and billing database of 43 tertiary children’s hospitals, was performed. A total of 17,309 HF-related ICU hospitalizations from 2005 to 2010 of 14,985 children ≤18 years old were analyzed. Of those, 2,058 (12%) hospitalizations for CM-HF in 1,599 (11%) children were identified. Classification into CM subtypes was not possible owing to database limitations. The number of yearly CM-HF hospitalizations significantly increased during the study period ( P  = .036). Overall mortality was 11%, and cardiac transplantation occurred in 20% of hospitalizations. Mechanical circulatory support (MCS) was used in 261 (13%) of hospitalizations. Renal failure, MCS, respiratory failure, sepsis, and vasoactive medications were associated with mortality on multivariable analysis. Significant comorbidities associated with these hospitalizations included arrhythmias in 42%, renal failure in 13%, cerebrovascular disease in 6%, and hepatic impairment in 5%. Conclusions HF-related ICU hospitalizations in children with cardiomyopathy are increasing. These children are at high risk for poor outcomes with an in-hospital mortality of 11%.
The purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)–related intensive care unit (ICU) hospitalizations in children with cardiomyopathy (CM). A query of the Pediatric Health Information System database, a large administrative and billing database of 43 tertiary children’s hospitals, was performed. A total of 17,309 HF-related ICU hospitalizations from 2005 to 2010 of 14,985 children ≤18 years old were analyzed. Of those, 2,058 (12%) hospitalizations for CM-HF in 1,599 (11%) children were identified. Classification into CM subtypes was not possible owing to database limitations. The number of yearly CM-HF hospitalizations significantly increased during the study period (P = .036). Overall mortality was 11%, and cardiac transplantation occurred in 20% of hospitalizations. Mechanical circulatory support (MCS) was used in 261 (13%) of hospitalizations. Renal failure, MCS, respiratory failure, sepsis, and vasoactive medications were associated with mortality on multivariable analysis. Significant comorbidities associated with these hospitalizations included arrhythmias in 42%, renal failure in 13%, cerebrovascular disease in 6%, and hepatic impairment in 5%. HF-related ICU hospitalizations in children with cardiomyopathy are increasing. These children are at high risk for poor outcomes with an in-hospital mortality of 11%.
Author Rossano, Joseph W., MD
Hall, Matthew, PhD
Penny, Daniel J., MD, PhD
Cabrera, Antonio G., MD
Knudson, Jarrod D., MD, PhD
Shamszad, Pirouz, MD
Denfield, Susan W., MD
Towbin, Jeffrey A., MD
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Snippet Abstract Objective The purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)–related intensive care unit (ICU)...
The purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)–related intensive care unit (ICU) hospitalizations in...
The purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)-related intensive care unit (ICU) hospitalizations in...
OBJECTIVEThe purpose of this study was to describe patient characteristics and outcomes of heart failure (HF)-related intensive care unit (ICU)...
SourceID proquest
crossref
pubmed
elsevier
SourceType Aggregation Database
Index Database
Publisher
StartPage 672
SubjectTerms Adolescent
Cardiomyopathies - diagnosis
Cardiomyopathies - epidemiology
Cardiomyopathies - therapy
Cardiovascular
Child
Child, Preschool
Databases, Factual
Female
Heart Failure - diagnosis
Heart Failure - epidemiology
Heart Failure - therapy
Humans
Infant
Infant, Newborn
inpatient
Intensive Care Units - trends
Male
mortality
Patient Admission - trends
Pediatrics
Treatment Outcome
Title Characteristics and Outcomes of Heart Failure–Related Intensive Care Unit Admissions in Children With Cardiomyopathy
URI https://www.clinicalkey.es/playcontent/1-s2.0-S1071916413005940
https://dx.doi.org/10.1016/j.cardfail.2013.08.006
https://www.ncbi.nlm.nih.gov/pubmed/24125105
https://search.proquest.com/docview/1443410479
Volume 19
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