Page 87 - Journal of Structural Heart Disease Volume 4, Issue 4

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Meeting Abstracts
140.
Conclusions: Stent implantation is a good alternative for palliation treatment of ductal-dependent circulation. In our 10 years experience it has become the treatment of choice in our institution, especially when in later years the mortality and morbidity of the procedure has become lower with acquired experience.
140. INTENSIVE CARE UNIT ADMISSION TOOL FOR CONGENITAL HEART CATHETERIZATION (ICATCH): A PREDICTIVE MODEL FOR HIGH LEVEL POST- CATHETERIZATION CARE
Brian Quinn, Juan Ibla, Diego Porras, Julie Slattery, Lisa Bergersen
Boston Children's Hospital, Boston, USA
Background: Currently, there is no standardized method for identifying patients at risk of needing high-complexity care following cardiac catheterization for congenital heart disease
Objectives: We sought to develop a pre-procedural pre- diction model for accurately identifying patients at risk for requiring intensive care unit (ICU) admission follow- ing elective cardiac catheterization for congenital heart disease.
Methods: Patient characteristics were prospectively collected on all cases scheduled for congenital cardiac
catheterization at Boston Children’s Hospital who were not coming from the ICU, beginning in August, 2017. Additional exclusions included patients undergoing endo- myocardial biopsy with or without coronary angiography. Patient and procedural characteristics were compared among those who were managed post-catheterization with ICU resources vs. patients admitted to the general oor or discharged home. Through univariate analysis, sta- tistically signi cant characteristics (p <0.001) were further evaluated in a forward stepwise process and considered for inclusion in the nal multivariate model if the variable remained statistically signi cant when accounting for other patient characteristics.
Results: A total of 593 cases were recorded between August 1, 2017 and April 11, 2018; of which 84% (n=499) came from home and 16% (n=94) were inpatients on a medical unit. Overall, 11% of patients (n=66) were admitted to the ICU, while 64% (n=382) were admitted to a medical unit and 11% (n=66) were discharged home. In multivar- iate analysis, following predictors were identi ed: age <1 year (OR 3.57), presence of systemic illness (OR 1.74), phys- iologic category 2 (OR 2.42), physiologic category 3 (OR 13.8), recent intervention (catheterization or surgical) <90 days (OR 2.56), procedural risk group "medium" (OR 12.7), and procedural risk group "high" (OR 48.2), model c statis- tic 0.88 (Table I).
Hijazi, Z
21st Annual PICS/AICS Meeting