Introduction:
In Vietnam, knowledge about renal function in adults with congenital heart disease (CHD) is limited.
Hypothesis:
This study aims to estimate incidence of renal dysfunction in adults with congenital heart disease and risk factors.
Methods:
This is a cross-sectional study, including 365 CHD patients more than 16 years old. We collected clinical and para-clinical information, estimated glomerular filtration rate (GFR) and calculated the odds ratio (OR) for reduced GFR.
Results:
Totally, 52.8% patients had GFR < 90 ml/phút/1.73 m
2
. Logistic regression had confirmed the OR for GFR < 90 ml/phút/1.73 m
2
in the group > 60-years-old, the group with atrial fibrillation, the group with heart failure (based on NT-proBNP > 125 pmol/L), and the group with pulmonary arterial hypertension (based on pulmonary artery systolic pressure > 50 mmHg by echocardiography) were 6.46 (95% CI: 1.37 - 30.41), 7.58 (95% CI: 1.66 - 34.56), 2.98 (95% CI: 1.49 - 5.98) and 1.84 (95% CI: 1.02 - 3.33), respectively.
Conclusions:
Renal dysfunction is common in adults with CHD. Age > 60 years-old, atrial fibrillation, heart failure, and pulmonary arterial hypertension were risk factors for renal dysfunction in adults with CHD.
Prevalence, Predictors, and Prognostic Value of Renal Dysfunction in Adults With Congenital Heart Disease