A Model for Assessment of Catheterization Risk in Adults With Congenital Heart Disease

Nathaniel W. Taggart*, Wei Du, Thomas J. Forbes, David G. Nykanen, David F Wax, Allison K. Cabalka, Jaxk H. Reeves, Yan Du, Daisuke Kobayashi

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to define the risk for adults with congenital heart disease who underwent cardiac catheterization and to propose a precatheterization risk scoring system. Data were prospectively collected using a multicenter registry of the Congenital Cardiovascular Interventional Study Consortium. The occurrence of serious adverse events (SAE) was correlated with 12 predefined variables. Catheterization RISk in Adult patients (CRISA) score was derived using multivariate logistic regression with backward elimination model selection method. The CRISA score was compared with the American Society of Anesthesiology score and a consensus-derived, 20-point risk score based on their ability to predict SAE. From June 2008 to September 2017, 300 adjudicated SAE's occurred in 7317 catheterization procedures (overall SAE rate 4.1%) performed in adults over 18 years of age at 27 contributing centers. Nine of the 12 tested variables were ultimately included in the CRISA score. CRISA score positively correlated with risk of SAE, and was superior to American Society of Anesthesiology and the 20-point risk score in predicting SAE. Minimal (CRISA score 0 to 2), low (3 to 7), moderate (8 to 10) and high (≥11) risk categories were identified, corresponding to 0.5%, 3.2%, 7.9%, and 16.7% risk of SAE, respectfully. In conclusion, the CRISA score reliably predicts risk of SAE in adults with congenital heart disease who underwent cardiac catheterization and may be useful for preprocedural risk assessment.

Original languageEnglish (US)
Pages (from-to)1527-1531
Number of pages5
JournalAmerican Journal of Cardiology
Volume123
Issue number9
DOIs
StatePublished - May 1 2019
Externally publishedYes

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Catheterization
Heart Diseases
Anesthesiology
Cardiac Catheterization
Registries
Logistic Models

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Taggart, N. W., Du, W., Forbes, T. J., Nykanen, D. G., Wax, D. F., Cabalka, A. K., ... Kobayashi, D. (2019). A Model for Assessment of Catheterization Risk in Adults With Congenital Heart Disease. American Journal of Cardiology, 123(9), 1527-1531. https://doi.org/10.1016/j.amjcard.2019.01.042
Taggart, Nathaniel W. ; Du, Wei ; Forbes, Thomas J. ; Nykanen, David G. ; Wax, David F ; Cabalka, Allison K. ; Reeves, Jaxk H. ; Du, Yan ; Kobayashi, Daisuke. / A Model for Assessment of Catheterization Risk in Adults With Congenital Heart Disease. In: American Journal of Cardiology. 2019 ; Vol. 123, No. 9. pp. 1527-1531.
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Taggart, NW, Du, W, Forbes, TJ, Nykanen, DG, Wax, DF, Cabalka, AK, Reeves, JH, Du, Y & Kobayashi, D 2019, 'A Model for Assessment of Catheterization Risk in Adults With Congenital Heart Disease', American Journal of Cardiology, vol. 123, no. 9, pp. 1527-1531. https://doi.org/10.1016/j.amjcard.2019.01.042

A Model for Assessment of Catheterization Risk in Adults With Congenital Heart Disease. / Taggart, Nathaniel W.; Du, Wei; Forbes, Thomas J.; Nykanen, David G.; Wax, David F; Cabalka, Allison K.; Reeves, Jaxk H.; Du, Yan; Kobayashi, Daisuke.

In: American Journal of Cardiology, Vol. 123, No. 9, 01.05.2019, p. 1527-1531.

Research output: Contribution to journalArticle

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AU - Taggart, Nathaniel W.

AU - Du, Wei

AU - Forbes, Thomas J.

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AU - Cabalka, Allison K.

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AU - Kobayashi, Daisuke

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