Trends in adult congenital heart disease hospitalization in Texas over the past decade

Well, Andrew; Mizrahi, Michelle; Johnson, Gregory P.; Patt, Hanoch; Fraser, Charles D.; Mery, Carlos M.; Beckerman, Ziv

doi:10.1016/j.ijcchd.2021.100098

Cited by 3 publications

(3 citation statements)

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“…13 The growth is also significantly more than the overall ACHD hospitalisations in Texas (41%) during the same time. 8 This substantially larger increase likely is a product of relatively greater improvements in survival, with improved medical and surgical techniques, in patients with Hypoplastic Left Heart Syndrome compared to other CHD diagnoses. The increased proportion of discharges of adult patients with Hypoplastic Left Heart Syndrome found over the study period supports this hypothesis.…”

Section: Discussionmentioning

confidence: 99%

“…This represents a 186% total increase and a 16.9% annual increase over the study period. Median length of stay was 4 [2][3][4][5][6][7][8] days and there were 17 (1.7%) in-hospital mortalities. Complete discharge demographics are presented in Table 1.…”

Section: Overall Dischargesmentioning

confidence: 99%

“…While previous reports have looked at trends in hospitalisations of all adults with CHD, the Hypoplastic Left Heart Syndrome population is unique with a different hospitalisation profile compared to the overall adults with CHD population. 8 This study aims to evaluate hospitalisation characteristics and outcomes of children and adults with Hypoplastic Left Heart Syndrome as well as assess for trends in these characteristics over an 11-year span.…”

Section: Introductionmentioning

confidence: 99%

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Hospitalisations of children and adults with Hypoplastic Left Heart Syndrome in Texas from 2009 to 2019

et al. 2022

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Introduction: Hypoplastic Left Heart Syndrome accounts for a significant proportion of CHD morbidity and mortality, despite improvements in care and improved survival. This study evaluates number of, reasons for, and trends in discharges of patients with hypoplastic left heart syndrome over 11 years in Texas. Methods: The Texas Inpatient Discharge Dataset Public Use File captures almost all discharges in Texas and was reviewed from 2009 to 2019. Discharges of patients ≥5 years of age and diagnosis codes for Hypoplastic Left Heart Syndrome were included. The admitting and principle diagnoses were categorised and all discharges were evaluated for procedures performed. Descriptive and univariate statistical analyses were performed. Results: A total of 1024 discharges were identified with a 16.9% annual increase over the study period. Median length of stay was 4 [IQR: 2–8] and there were 17 (1.7%) in-hospital mortalities with no differences across age groups. Seven (17.1%) discharges of patients 25+ years were uninsured, higher than other age groups (p < 0.001). The most common admitting diagnosis was CHD and 224 (21.9%) of discharges included a procedure, including 23 heart transplants. Discharges occurred from 67 different hospitals with 4 (6.0%) representing 71.4% of all discharges. Conclusions: Discharges of Hypoplastic Left Heart Syndrome have increased rapidly, particularly in the older age groups and were spread over a large number of hospitals. Further work is needed to understand the interplay between Hypoplastic Left Heart Syndrome and other conditions and care experiences that occur within the general population, which will become more common as this population ages and grows.

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Section: Discussionmentioning

confidence: 99%

Section: Overall Dischargesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hospitalisations of children and adults with Hypoplastic Left Heart Syndrome in Texas from 2009 to 2019

et al. 2022

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Editor's corner & issue at a glance

Gatzoulis

2021

International Journal of Cardiology Congenital Heart Disease

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Temporal Trend in Hospitalization Among Patients With Congenital Heart Disease: A Danish Nationwide Study

Lim,

Jensen,

Marstein

et al. 2024

JAHA

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Background The congenital heart disease (CHD) population is growing and aging. We aim to examine the impact by describing the temporal trend and causes of lifetime hospitalization burden among the CHD population. Methods and Results From the Danish National Patient Registry, 23 141 patients with CHD and their hospitalizations from 1977 to 2018 were identified, excluding patients with extracardiac malformation. Patients with CHD were categorized into major CHD and minor CHD, and each patient was matched with 10 controls by sex and year of birth. The rate of all‐cause hospitalization increased over time from 28.3 to 36.4 hospitalizations per 100 person‐years (PY) with rate difference (RD) per decade of 2.5 (95% CI, 2.0–3.1) hospitalizations per 100 PY for the patients with CHD, compared with the increase from 10.8 to 17.0 per 100 PY (RD per decade, 2.0 [95% CI, 1.8–2.2] per 100 PY) for the control group (RD for CHD versus control, P =0.08). The all‐cause hospitalization rate remained constant for the major CHDs (RD per decade, −0.2 [95% CI, −1.2 to 0.9] per 100 PY) but increased for the minor CHDs (RD per decade, 5.2 [95% CI, 4.3–6.0] per 100 PY). For all patients with CHD, the cardiovascular hospitalization rate remained constant over time (RD per decade, 0.2 [95% CI, −0.3 to 0.6] per 100 PY) whereas the noncardiovascular hospitalization rate increased (RD per decade, 2.1 [95% CI, 1.6–2.7] per 100 PY). The length of all‐cause hospital stays for all patients with CHD decreased from 2.7 (95% CI, 2.6–2.8) days per PY in 1977 to 1987 to 1.6 (95% CI, 1.6–1.7) days per PY in 2008 to 2018. Conclusions Compared with previous decades, patients with CHD have an increasing hospitalization rate, similar to the general population, but a decreasing length of hospital stay. The increase in hospitalization rate was driven by noncardiovascular hospitalizations, with the patients with minor CHD being the key contributor to the increasing rate.

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Trends in adult congenital heart disease hospitalization in Texas over the past decade

Cited by 3 publications

References 4 publications

Hospitalisations of children and adults with Hypoplastic Left Heart Syndrome in Texas from 2009 to 2019

Hospitalisations of children and adults with Hypoplastic Left Heart Syndrome in Texas from 2009 to 2019

Editor's corner & issue at a glance

Temporal Trend in Hospitalization Among Patients With Congenital Heart Disease: A Danish Nationwide Study

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