{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T02:26:01Z","timestamp":1790475961901,"version":"4.1.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"16","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,8,20]]},"abstract":"\n Background<\/jats:title>\n \n Heart failure (\n HF<\/jats:styled-content>\n ) admissions in adults with congenital heart disease (\n CHD<\/jats:styled-content>\n ) are becoming more common. We compared in\u2010hospital and readmission events among adults with and without\n CHD<\/jats:styled-content>\n admitted for\n HF<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n We identified all admissions with the primary diagnosis of\n HF<\/jats:styled-content>\n among adults in the California State Inpatient Database between January 1, 2005 and January 1, 2012.\n International Classification of Disease (ICD)<\/jats:italic>\n codes identified the type of\n CHD<\/jats:styled-content>\n lesion, comorbidities, and in\u2010hospital and 30\u2010day readmissions events. Adjusted odds ratio (\n AOR<\/jats:styled-content>\n , 95%\n CI<\/jats:styled-content>\n ) was calculated after adjusting for admission year, age, sex, race, household income, primary payor, and Charlson comorbidity index. Of 203\u00a0759 patients admitted for\n HF<\/jats:styled-content>\n , 539 had\n CHD<\/jats:styled-content>\n other than atrial septal defect. Compared with patients admitted for\n HF<\/jats:styled-content>\n without\n CHD<\/jats:styled-content>\n , those with\n CHD<\/jats:styled-content>\n were younger, more often male, and had fewer comorbidities as determined by Charlson comorbidity index. On multivariate analysis,\n CHD<\/jats:styled-content>\n patients admitted for\n HF<\/jats:styled-content>\n had higher odds of length of stay \u22657\u00a0days (\n AOR<\/jats:styled-content>\n 2.5 [95%\n CI<\/jats:styled-content>\n 2.0\u20133.1]), incident arrhythmias (\n AOR<\/jats:styled-content>\n 2.8 [95%\n CI<\/jats:styled-content>\n 1.7\u20134.5]), and in\u2010hospital mortality (\n AOR<\/jats:styled-content>\n 1.9 [95%\n CI<\/jats:styled-content>\n 1.1\u20133.1]). Also,\n CHD<\/jats:styled-content>\n patients had lower odds of readmission for\n HF<\/jats:styled-content>\n (\n AOR<\/jats:styled-content>\n 0.6 [95%\n CI<\/jats:styled-content>\n 0.3\u20130.9]), but similar odds of other 30\u2010day readmission events. Complex\n CHD<\/jats:styled-content>\n patients had higher odds of length of stay \u22657\u00a0days (\n AOR<\/jats:styled-content>\n 1.9 [95%\n CI<\/jats:styled-content>\n 1.1\u20133.3]) than patients with noncomplex\n CHD<\/jats:styled-content>\n lesions, but similar odds of all other clinical outcomes.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Among patients admitted with the primary diagnosis of\n HF<\/jats:styled-content>\n in California, adults with\n CHD<\/jats:styled-content>\n have substantially higher odds of longer length of stay, incident arrhythmias, and in\u2010hospital mortality compared with non\u2010\n CHD<\/jats:styled-content>\n patients. These results suggest a need for\n HF<\/jats:styled-content>\n risk stratification strategies and management protocols specific for patients with\n CHD<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.119.012595","type":"journal-article","created":{"date-parts":[[2019,8,17]],"date-time":"2019-08-17T09:00:15Z","timestamp":1566032415000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":32,"title":["Clinical Outcomes During Admissions for Heart Failure Among Adults With Congenital Heart Disease"],"prefix":"10.1161","volume":"8","author":[{"given":"Anushree","family":"Agarwal","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Medicine University of California San Francisco San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carson W.","family":"Dudley","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine University of California San Francisco San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Nah","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine University of California San Francisco San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Hayward","sequence":"additional","affiliation":[{"name":"Electrophysiology Section Division of Cardiology Department of Medicine University of Massachusetts Health Care Worcester Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zian H.","family":"Tseng","sequence":"additional","affiliation":[{"name":"Electrophysiology Section Division of Cardiology Department of Medicine University of California San Francisco San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2003.05.003"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.03.085"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.627224"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.019307"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.023370"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000352"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/hc1002.105182"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.04.037"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.008775"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2009.185595"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-312777"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.216476"},{"key":"e_1_3_1_14_2","unstructured":"HCUP central distributor SID California file composition. 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