Evidence map›Paper›PMID 39135920›Full record

ArticleJACC. Advances2024

Characteristics and Outcomes of Adults With Congenital Heart Disease in the Cardiac Intensive Care Unit.

Ryan R Keane, Anthony P Carnicelli, Daniel B Loriaux, Payton Kendsersky, Richard A Krasuski, Kelly M Brown, Kelly Arps, Vivian Baird-Zars, Jeffrey A Dixson, Emily Echols and 10 more

Abstract read
In one paragraph

Article in JACC. Advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Ryan R KeaneDepartment of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Anthony P CarnicelliDivision of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Daniel B LoriauxDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Payton KendserskyDivision of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Richard A KrasuskiDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Kelly M BrownDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Kelly ArpsDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Vivian Baird-ZarsTIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Jeffrey A DixsonDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Emily EcholsDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Christopher B GrangerDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Robert W HarrisonDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Michael KontosDivision of Cardiology, Department of Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
L Kristin NewbyDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
Jeong-Gun ParkTIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Kevin S ShahDivision of Cardiology, Department of Medicine, University of Utah, Salt Lake City, Utah, USA.
Bradley W TernusDivision of Cardiology, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Sean Van DiepenDepartment of Critical Care Medicine and Division of Cardiology, Department of Medicine, University of Alberta, Alberta, Canada.
Jason N KatzDivision of Cardiology, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA.
David A MorrowTIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Little is known regarding the characteristics, treatment patterns, and outcomes in patients with adult congenital heart disease (ACHD) admitted to cardiac intensive care units (CICUs). Objectives: The authors sought to better define the contemporary epidemiology, treatment patterns, and outcomes of ACHD admissions in the CICU. Methods: The Critical Care Cardiology Trials Network is a multicenter network of CICUs in North America. Participating centers contributed prospective data from consecutive admissions during 2-month annual snapshots from 2017 to 2022. We analyzed characteristics and outcomes of admissions with ACHD compared with those without ACHD. Multivariable logistic regression was used to assess mortality in ACHD vs non-ACHD admissions. Results: Of 23,299 CICU admissions across 42 sites, there were 441 (1.9%) ACHD admissions. Shunt lesions were most common (46.1%), followed by right-sided lesions (29.5%) and complex lesions (28.7%). ACHD admissions were younger (median age 46 vs 67 years) than non-ACHD admissions. ACHD admissions were more commonly for heart failure (21.3% vs 15.7%, Conclusions: This study illustrates the unique aspects of the ACHD CICU admission. Further investigation into the best approach to manage specific ACHD-related CICU admissions, such as cardiogenic shock and acute respiratory failure, is warranted.

Indexed as

ACHDadult congenital heart diseasecardiac intensive care unitCICU

Identifiers

PMID39135920
PMCPMC11318473

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Registered trials

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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.