Clinic nonattendance is associated with increased emergency department visits in adults with congenital heart disease

2019 ◽  
Vol 14 (5) ◽  
pp. 726-734 ◽  
Author(s):  
Katherine Awh ◽  
Morgan A. Venuti ◽  
Lacey P. Gleason ◽  
Rachel Rogers ◽  
Srinivas Denduluri ◽  
...  
Keyword(s):  
Emergency Department ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Emergency Department Visits

EMERGENCY DEPARTMENT VISITS AMONG CHILDREN WITH CONGENITAL HEART DISEASE IN THE UNITED STATES FROM 2006 TO 2014

2018 ◽  
Vol 71 (11) ◽  
pp. A605
Author(s):  
Jonathan Edelson ◽  
Joseph William Rossano ◽  
Heather Griffis ◽  
Dingwei Dai ◽  
Jennifer Faerber ◽  
...  
Keyword(s):  
United States ◽  
Emergency Department ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
The United States ◽  
Emergency Department Visits

scholarly journals Emergency Department Visits by Children With Congenital Heart Disease

2018 ◽  
Vol 72 (15) ◽  
pp. 1817-1825 ◽  
Author(s):  
Jonathan B. Edelson ◽  
Joseph W. Rossano ◽  
Heather Griffis ◽  
Dingwei Dai ◽  
Jennifer Faerber ◽  
...  
Keyword(s):  
Emergency Department ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Emergency Department Visits

scholarly journals Health Service Utilization Patterns Among Adults With Congenital Heart Disease: A Population‐Based Study

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Michal Benderly ◽  
Jonathan Buber ◽  
Ofra Kalter‐Leibovici ◽  
Leonard Blieden ◽  
Alexander Dadashev ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Service Utilization ◽  
Congenital Heart ◽  
Emergency Department Visits ◽  
Female Sex ◽  
Outpatient Visits ◽  
Utilization Patterns

Background Several studies have examined hospitalizations among patients with adult congenital heart disease (ACHD). Few investigated other services or utilization patterns. Our aim was to study service utilization patterns and predictors among patients with ACHD. Methods and Results We identified 11 653 patients with ACHD aged ≥18 years (median, 47 years), through electronic records of 2 large Israeli healthcare providers (2007–2011). The association between patient, disease, and sociogeographic characteristics and healthcare resource utilization were modeled as recurrent events accounting for the competing death risk. Patients with ACHD had high healthcare utilization rates compared with the general population. The highest standardized service utilization ratios (SSRs) were found among patients with complex congenital heart disease including primary care visits (SSR, 1.53; 95% CI, 1.47–1.58), cardiology outpatient visits (SSR, 5.17; 95% CI, 4.69–5.64), hospitalizations (SSR, 6.68; 95% CI, 5.82–7.54), and days in hospital (SSR, 15.37; 95% CI, 14.61–16.12). Adjusted resource utilization hazard increased with increasing lesion complexity. Hazard ratios (HRs) for complex versus simple disease were: primary care (HR, 1.14; 95% CI, 1.06–1.23); cardiology outpatient visits (HR, 1.40; 95% CI, 1.24–1.59); emergency department visits (HR, 1.19; 95% CI, 1.02–1.39); and hospitalizations (HR, 1.75; 95% CI, 1.49–2.05). Effects attenuated with age for cardiology outpatient visits and hospitalizations and increased for emergency department visits. Female sex, geographic periphery, and ethnic minority were associated with more primary care visits, and female sex (HR versus men, 0.89 [95% CI, 0.84–0.94]) and periphery (HR, 0.72 [95% CI, 0.58–0.90] for very peripheral versus very central) were associated with fewer cardiology visits. Arab minority patients also had high hospitalization rates compared with the majority group of Jewish or other patients. Conclusions Healthcare utilization rates were high among patients with ACHD. Female sex, geographic periphery, and ethnicity were associated with less optimal service utilization patterns. Further research should examine strategies to optimize service utilization in these groups.

scholarly journals PREDICTORS OF EMERGENCY DEPARTMENT VISITS AMONG ADULT CONGENITAL HEART DISEASE PATIENTS: A POPULATION-BASED ANALYSIS

2014 ◽  
Vol 63 (12) ◽  
pp. A604
Author(s):  
Vanessa Nanci ◽  
Judith Therrien ◽  
Mohammed Kaouache ◽  
Darren Mylotte ◽  
Ariane Marelli
Keyword(s):  
Emergency Department ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Population Based ◽  
Emergency Department Visits ◽  
Adult Congenital

Emergency department presentations of pediatric congenital heart disease

2003 ◽  
Vol 24 (3) ◽  
pp. 239-245 ◽  
Author(s):  
Eric Savitsky ◽  
Juan Alejos ◽  
Scott Votey
Keyword(s):  
Emergency Department ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart

scholarly journals The Appearance of an Underrecognized Congenital Heart Disease in a Patient With COVID-19 Pneumonia

2021 ◽  
Vol 9 ◽  
pp. 232470962110433
Author(s):  
Sofia Lakhdar ◽  
Chandan Buttar ◽  
Sameen Hassan ◽  
Most Sirajum Munira ◽  
Theo Trandafirescu
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Surgical Repair ◽  
Late Presentation ◽  
Complex Congenital Heart Disease ◽  
Productive Cough ◽  
Shortness Of Breath

A 60-year-old woman presented to the emergency department with worsening shortness of breath and non-productive cough for 1 week, which was preceding a recent COVID-19 infection. At the time the patient thought this was part of the constellation of symptoms of COVID-19, so she stayed home until her symptoms worsened to the point of needing hospitalization. The patient was found to have a rare and complex congenital heart disease that led her to develop acute heart failure precipitated by COVID-19 pneumonia. Medical management and surgical repair were essential in this patient given the late presentation.

scholarly journals Greater admissions, mortality and cost of heart failure in adults with congenital heart disease

Heart ◽  
2020 ◽  
pp. heartjnl-2020-318246
Author(s):  
Danielle S Burstein ◽  
Joseph W Rossano ◽  
Heather Griffis ◽  
Xuemei Zhang ◽  
Rachel Fowler ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Resource Use ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Hospital Costs ◽  
Hospital Length Of Stay ◽  
Hospital Resource

ObjectiveLimited contemporary data exist regarding outcomes and resource use among adults with congenital heart disease and heart failure (ACHD-HF). This study compared outcomes, emergency department (ED) and hospital resource use, and advanced heart failure (HF) therapies in ACHD-HF versus non-ACHD with HF (HF-non-ACHD).MethodsThe Nationwide Emergency Department Sample and Nationwide Inpatient Sample were used to analyse outcomes and resource use among ACHD-HF ED visits and hospitalisations from 2006 to 2016. ACHD-HF was stratified by single-ventricle (SV) and two-ventricle (2V) disease.ResultsA total of 76 557 ACHD-HF visits (3.6% SV physiology) and 31 137 414 HF-non-ACHD visits were analysed. ACHD-HFs were younger (SV 33 years (IQR 25–44), 2V 62 years (IQR 45–76); HF-non-ACHD 74 years (IQR 63–83); p<0.001). ACHD-HFs had higher ED admissions (78% vs 70%, p<0.001), longer hospital length of stay (5 days (IQR 2–8) vs 4 days (IQR 2–7), p<0.001) and greater hospital costs ($49K (IQR 2K–121K) vs $32K (17K–66K), p<0.001). Mortality was significantly higher among ACHD-HFs with SV physiology (6.6%; OR 1.6, 95% CI 1.1 to 2.3) or 2V physiology (6.3%; OR 1.4, 95% CI 1.3 to 1.5) versus HF-non-ACHD (5.5%). ACHF-HF hospitalisations increased more (46% vs 6% HF-non-ACHD) over a 10-year period, but the proportion receiving ventricular assist device (VAD) (ACHD-HF −2% vs HF-non-ACHD 294%) or transplant (ACHD-HF −37% vs HF-non-ACHD 73%) decreased.ConclusionACHD-HFs have significant ED and hospital resource use that has increased over the past 10 years. However, advanced HF therapies (VAD and transplantation) are less commonly used compared with those without adult congenital heart disease.

Sign in / Sign up

Export Citation Format

Share Document