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- Title
Congenital Heart Disease (CHD) in Seniors: a Retrospective Study Defining a Brand New Cohort.
- Authors
Reich, Krista; Moledina, Aliza; Kwan, Emily; Keir, Michelle
- Abstract
Background: With improved surgical techniques and medical therapy, patients with congenital heart disease (CHD) are now expected to achieve normal life expectancies. As a result, a new cohort of senior patients with adult congenital heart disease (ACHD) is emerging which has not been well characterized. Methods: This study is a retrospective chart review of patients with moderate to complex CHD over the age of 60 years in Southern Alberta. We examined the number, length, and reasons for hospitalizations, and identified common adult comorbidities. Results: A total of 84 patients with CHD who were 60 years or older were identified. The average age was 67.9 ± 6.6 years, with the majority of patients having moderate CHD. The most common cardiac comorbidities were arrhythmia, hypertension, and heart failure, which were also the most common reasons for hospital admission. There were 1.85 admissions per 10 patient-years, with a median length of stay of 6.0 (3.8-10.5) days. Conclusions: With advanced age, the ACHD population is at risk of developing significant medical burden from acquired cardiac comorbidities, resulting in hospitalization. This analysis provides insight into disease characteristics of seniors with CHD. Further studies are needed to better understand this population and the association with geriatric syndromes.
- Subjects
ALBERTA; HOSPITAL care evaluation; ARRHYTHMIA; COGNITION disorders; CONGENITAL heart disease; HEART failure; LENGTH of stay in hospitals; HYPERTENSION; MEDICAL care use; MEDICAL records; COMORBIDITY; RETROSPECTIVE studies; SEVERITY of illness index; DESCRIPTIVE statistics; ACQUISITION of data methodology
- Publication
Canadian Geriatrics Journal, 2020, Vol 23, Issue 4, p270
- ISSN
1925-8348
- Publication type
Article
- DOI
10.5770/cgj.23.435