{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:31:26Z","timestamp":1787841086606,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background:<\/jats:title>\n As pediatric cardiac catheterization procedures become more complex, critically ill children increasingly require postprocedure intensive care unit (ICU) admissions.<\/jats:p>\n <\/jats:sec>\n \n Aims: Primary:<\/jats:title>\n The primary aim was to evaluate the association between patient demographics and ICU admission after elective cardiac catheterization in children without recent surgery or pre-existing systemic illness (acute renal failure, hepatic failure, active infection).<\/jats:p>\n <\/jats:sec>\n \n Secondary:<\/jats:title>\n The secondary aim was to analyze associations between ICU admission and American Society of Anesthesiologists (ASA) physical grade, and Catheterization Risk Score for Pediatrics (CRISP) online model-based precatheterization diagnosis, physiological category, and procedure risk category.<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n A prospective cohort study conducted at a single tertiary cardiac care center.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n The study included 193 pediatric patients undergoing elective cardiac catheterization from June 2023 to May 2024 under general anesthesia. Postprocedure, patients were admitted to ICU or transferred to wards. Demographic data, ASA physical status, and CRISP-based categories were analyzed for ICU admission predictors using univariate and multivariate analyses.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Of 193 participants, 169 met eligibility criteria, and 27 required ICU admission. Univariate analysis showed that age (\n P<\/jats:italic>\n < 0.001), weight (\n P<\/jats:italic>\n < 0.01), ASA Grade 4 physical status (\n P<\/jats:italic>\n = 0.001), CRISP-based category 2 and 3 of precatheterization diagnosis, and physiology were factors associated with children admitted to the ICU. Multivariate analysis showed weight [odds ratio (OR): 0.816, 95% CI: 0.679\u20130.980,\n P<\/jats:italic>\n = 0.029], ASA physical grade 4 [OR: 2.966, 95% CI: 1.155 \u2013 7.612,\n P<\/jats:italic>\n = 0.024], CRISP-based pre-catheterization diagnosis category 3 [OR: 28.304, 95% CI: 1.025 \u2013 781.835,\n P<\/jats:italic>\n = 0.048], and physiologic risk category 3 [OR: 6.816, 95% CI: 1.275 \u2013 36.439,\n P<\/jats:italic>\n = 0.025] were independently associated with ICU admissions after elective cardiac catheterization.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The results showed that the child\u2019s weight, ASA physical grade, and the diagnosis and physiologic categories by the CRISP model may predict the possibility of a pediatric patient requiring an ICU admission after cardiac catheterization procedures.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aca.aca_88_25","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T16:00:35Z","timestamp":1768579235000},"page":"49-55","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated with Intensive Care Unit Admission Following Elective Cardiac Catheterization in Children without a Recent History of Cardiac Surgery or Major Noncardiac Comorbidities"],"prefix":"10.4103","volume":"29","author":[{"given":"Madan Mohan","family":"Maddali","sequence":"first","affiliation":[{"name":"Department of Cardiac Anesthesia, National Heart Center, Royal Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malay Hemantlal","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anesthesia, National Heart Center, Royal Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Is\u2019haq","family":"Al Aamri","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anesthesia, National Heart Center, Royal Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panchatcharam Murthi","family":"Sathiya","sequence":"additional","affiliation":[{"name":"Department of Studies and Research, Oman Medical Specialty Board, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"R1-20260331","first-page":"302","article-title":"Congenital Cardiac Interventional Study Consortium (CCISC). CRISP: Catheterization RISk score for pediatrics: A report from the Congenital Cardiac Interventional Study Consortium (CCISC)","volume":"87","author":"Nykanen","year":"2016","journal-title":"Catheter Cardiovasc Interv"},{"key":"R2-20260331","doi-asserted-by":"crossref","first-page":"e022832","DOI":"10.1161\/JAHA.121.022832","article-title":"Procedural Risk in Congenital Cardiac Catheterization (PREDIC3T)","volume":"11","author":"Quinn","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"R3-20260331","doi-asserted-by":"crossref","first-page":"e012834","DOI":"10.1161\/CIRCINTERVENTIONS.123.012834","article-title":"Catheterization for congenital heart disease adjustment for risk method II","volume":"17","author":"Quinn","year":"2024","journal-title":"Circ Cardiovasc Interv"},{"key":"R4-20260331","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1017\/S1047951119000817","article-title":"Unanticipated admissions to paediatric cardiac critical care after cardiac catheterisations","volume":"29","author":"Peebles","year":"2019","journal-title":"Cardiol Young"},{"key":"R5-20260331","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jcin.2023.11.001","article-title":"PICS\/AEPC\/APPCS\/CSANZ\/SCAI\/SOLACI: Expert consensus statement on cardiac catheterization for pediatric patients and adults with congenital heart disease","volume":"17","author":"Holzer","year":"2024","journal-title":"JACC Cardiovasc Interv"},{"key":"R6-20260331","first-page":"97","article-title":"Validation and refinement of the catheterization RISk score for pediatrics (CRISP score): An analysis from the congenital cardiac interventional study consortium","volume":"93","author":"Hill","year":"2019","journal-title":"Catheter Cardiovasc Interv"},{"key":"R7-20260331","doi-asserted-by":"crossref","first-page":"2500","DOI":"10.1053\/j.jvca.2022.02.024","article-title":"Predictive factors for postoperative intensive care unit admission and mechanical ventilation after cardiac catheterization for pediatric pulmonary vein stenosis","volume":"36","author":"Maisat","year":"2022","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R8-20260331","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1097\/PCC.0000000000003028","article-title":"ICU Admission Tool for Congenital Heart Catheterization (iCATCH): A predictive model for high level post-catheterization care and patient management","volume":"23","author":"Quinn","year":"2022","journal-title":"Pediatr Crit Care Med"},{"key":"R9-20260331","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1213\/ANE.0000000000005025","article-title":"The pediatric-specific american society of anesthesiologists physical status score: A multicenter study","volume":"132","author":"Ferrari","year":"2021","journal-title":"Anesth Analg"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_88_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:41:57Z","timestamp":1787838117000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_88_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_88_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-04-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}