Evidence map›Paper›PMID 30371225›Full record

ArticleJournal of the American Heart Association2018

Hospitalization Trends and Health Resource Use for Adult Congenital Heart Disease-Related Heart Failure.

Luke J Burchill, Lina Gao, Adrienne H Kovacs, Alexander R Opotowsky, Bryan G Maxwell, Jessica Minnier, Abigail M Khan, Craig S Broberg

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 98 citations in OpenAlex.

  1. New perspectives in the management of adults with congenital heart disease: insights from the 2025 ACHD Congress.European heart journal supplements : journal of the European Society of Cardiology · 2026
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  16. Environmental changes surrounding congenital heart disease.Clinical and experimental pediatrics · 2023
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  19. Risk of maternal exposure to mixed air pollutants during pregnancy for congenital heart diseases in offspring.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Luke J Burchill1 Adult Congenital Heart Disease Program Knight Cardiovascular Institute Oregon Health and Science University Portland OR.
Lina Gao1 Adult Congenital Heart Disease Program Knight Cardiovascular Institute Oregon Health and Science University Portland OR.
Adrienne H Kovacs1 Adult Congenital Heart Disease Program Knight Cardiovascular Institute Oregon Health and Science University Portland OR.
Alexander R Opotowsky2 Boston Children's Hospital and Brigham and Women's Hospital Boston MA.
Bryan G Maxwell3 Legacy Emanuel Medical Center and Randall Children's Hospital Portland OR.
Jessica Minnier1 Adult Congenital Heart Disease Program Knight Cardiovascular Institute Oregon Health and Science University Portland OR.
Abigail M Khan1 Adult Congenital Heart Disease Program Knight Cardiovascular Institute Oregon Health and Science University Portland OR.
Craig S Broberg1 Adult Congenital Heart Disease Program Knight Cardiovascular Institute Oregon Health and Science University Portland OR.
Oregon Health & Science University · USBoston Children's Hospital · USLegacy Emanuel Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background This study assessed trends in heart failure ( HF) hospitalizations and health resource use in patients with adult congenital heart disease ( ACHD ). Methods and Results The Nationwide Inpatient Sample was used to compare ACHD with non- ACHD HF hospitalization and health resource trends. Health resource use was assessed using total hospital charges, hospital length of stay, and procedural burden. A total of 87 175±2676 ACHD -related HF hospitalizations occurred between 1998 and 2011. During this time, ACHD HF hospitalizations increased 91% (4620±438-8809±740, P<0.0001) versus a 21% increase in non- ACHD HF hospitalizations ( P=0.003). ACHD HF hospitalization was associated with longer length of stay ( ACHD HF versus non- ACHD HF, 7.2±0.09 versus 6.8±0.02 days; P<0.0001), greater procedural burden, and higher charges ($81 332±$1650 versus $52 050±$379; P<0.0001). ACHD HF hospitalization charges increased 258% during the study period ($26 533±$1816 in 1998 versus $94 887±$8310 in 2011; P=0.0002), more than double that for non- ACHD HF ( P=0.04). Patients with ACHD HF hospitalized in high-volume ACHD centers versus others were more likely to undergo invasive hemodynamic testing (30.2±0.6% versus 20.7±0.5%; P<0.0001) and to receive cardiac resynchronization/defibrillator devices (4.7±0.3% versus 1.8±0.2%; P<0.0001) and mechanical circulatory support (3.9±0.2% versus 2.4±0.2%; P<0.0001). Conclusions ACHD -related HF hospitalizations have increased dramatically in recent years and are associated with disproportionately higher costs, procedural burden, and health resource use.

Indexed as

AdolescentAdultAgedCardiac Resynchronization Therapy DevicesDefibrillators, ImplantableEbstein AnomalyFemaleHealth ResourcesHealth ServicesHeart Defects, CongenitalHeart FailureHeart Septal DefectsHospital ChargesHospitalizationHumansLength of Stayhealth services researchheart failuremortality

Identifiers

PMID30371225
PMCPMC6201452
OpenAlexW2891648242

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.