Burden of Renal Dysfunction and Neurologic Complications in Hospitalized Pediatric Heart Failure Unrelated to Congenital Heart Disease: A Multicenter Study
Abstract
:1. Introduction
2. Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
ICD-code | Diagnosis |
150.1 | Left ventricular failure |
150.2 | Unspecified congestive heart failure |
150.21 | Acute systolic failure |
150.22 | Chronic systolic heart failure |
150.23 | Heart failure requiring ventilator |
150.3 | Diastolic heart failure |
150.4 | Combined systolic and diastolic heart failure |
150.8 | Other heart failure |
150.84 | Heart failure with vasoactive medications |
150.9 | Acute decompensated heart failure |
150.810 | Heart failure with VAD |
Appendix B
Z99.8 | VA ECMO |
T82.57 | Mechanical complication of VAD |
T82.898A | Specified complications of VAD |
N17.9 | Acute kidney injury |
N18.5 | Renal failure |
N18.6 | Dialysis in children with heart failure |
Z94.1 | Heart transplantation |
Z94.0 | Renal transplantation |
R41.82 | Altered mental status |
161 | Stroke (hemorrhagic) |
163 | Stroke (ischemic) |
R56.9 | Seizures |
G93.4 | Encephalopathy |
R53.1 | Weakness or paralysis |
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Parameter | No Renal Dysfunction | Renal Dysfunction | Total | p Value |
---|---|---|---|---|
Total | N = 4276 (77.5%) | N = 1239 (22.5%) | N = 5515 | |
Sex | ||||
Male | 2382 (55.7%) | 689 (55.6%) | 3071 (55.7%) | 0.952 |
Female | 1894 (44.3%) | 550 (44.4%) | 2444 (44.3%) | |
Race | ||||
White | 1877 (43.9%) | 524 (42.3%) | 2401 (43.5%) | <0.001 |
Black | 727 (17%) | 336 (27.1%) | 1063 (19.3%) | |
Asian | 131 (3.1%) | 50 (4%) | 181 (3.3%) | |
Other | 1541 (36%) | 329 (26.6%) | 1870 (33.9%) | |
Ethnicity | ||||
Not Hispanic or Latino | 3574 (83.6%) | 1010 (81.5%) | 4584 (83.1%) | 0.087 |
Hispanic or Latino | 702 (16.4%) | 229 (18.5%) | 931 (16.9%) | |
ED flag | 1618 (37.8%) | 450 (36.3%) | 2068 (37.5%) | 0.331 |
ICU flag | 2697 (63.1%) | 947 (76.4%) | 3644 (66.1%) | <0.001 |
Mechanical ventilation flag | 1114 (26.1%) | 594 (47.9%) | 1708 (31%) | <0.001 |
ECMO flag | 124 (2.9%) | 166 (13.4%) | 290 (5.3%) | <0.001 |
TPN flag | 539 (12.6%) | 404 (32.6%) | 943 (17.1%) | <0.001 |
Dialysis | 0 (0%) | 389 (31.4%) | 389 (7.1%) | <0.001 |
VAD placement | 139 (3.3%) | 88 (7.1%) | 227 (4.1%) | <0.001 |
Heart transplant | 316 (7.4%) | 186 (15%) | 502 (9.1%) | <0.001 |
Kidney transplant | 0 (0%) | 38 (3.1%) | 38 (0.7%) | <0.001 |
Discharge mortality | 182 (4.3%) | 145 (11.7%) | 327 (5.9%) | <0.001 |
Parameter | No Neurologic Issues | Neurologic Issues | Total | p Value |
---|---|---|---|---|
Total | N = 4976 (90.2%) | N = 539 (9.8%) | N = 5515 | |
Sex | ||||
Male | 2796 (56.2%) | 275 (51%) | 3071 (55.7%) | 0.022 |
Female | 2180 (43.8%) | 264 (49%) | 2444 (44.3%) | |
Race | 0.914 | |||
White | 2160 (43.4%) | 241 (44.7%) | 2401 (43.5%) | |
Black | 962 (19.3%) | 101 (18.7%) | 1063 (19.3%) | |
Asian | 162 (3.3%) | 19 (3.5%) | 181 (3.3%) | |
Other | 1692 (34%) | 178 (33%) | 1870 (33.9%) | |
Ethnicity | 0.544 | |||
Not Hispanic or Latino | 4141 (83.2%) | 443 (82.2%) | 4584 (83.1%) | |
Hispanic or Latino | 835 (16.8%) | 96 (17.8%) | 931 (16.9%) | |
ED flag | 1891 (38%) | 177 (32.8%) | 2068 (37.5%) | 0.019 |
ICU flag | 3142 (63.1%) | 443 (82.2%) | 3644 (66.1%) | <0.001 |
Mechanical ventilation flag | 1374 (27.6%) | 334 (62%) | 1708 (31%) | <0.001 |
ECMO flag | 171 (3.4%) | 119 (22.1%) | 290 (5.3%) | <0.001 |
TPN flag | 707 (14.2%) | 236 (43.8%) | 943 (17.1%) | <0.001 |
Dialysis | 319 (6.4%) | 70 (13%) | 389 (7.1%) | <0.001 |
VAD placement | 184 (3.7%) | 43 (8%) | 227 (4.1%) | <0.001 |
Heart transplant | 387 (7.8%) | 115 (21.3%) | 502 (9.1%) | <0.001 |
Kidney transplant | 36 (0.72%) | 2 (0.37%) | 38 (0.7%) | 0.347 |
Discharge mortality | 228 (4.6%) | 99 (18.4%) | 327 (5.9%) | <0.001 |
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Das, B.; Godown, J.; Deshpande, S.R. Burden of Renal Dysfunction and Neurologic Complications in Hospitalized Pediatric Heart Failure Unrelated to Congenital Heart Disease: A Multicenter Study. Transplantology 2023, 4, 209-217. https://doi.org/10.3390/transplantology4040020
Das B, Godown J, Deshpande SR. Burden of Renal Dysfunction and Neurologic Complications in Hospitalized Pediatric Heart Failure Unrelated to Congenital Heart Disease: A Multicenter Study. Transplantology. 2023; 4(4):209-217. https://doi.org/10.3390/transplantology4040020
Chicago/Turabian StyleDas, Bibhuti, Justin Godown, and Shriprasad R. Deshpande. 2023. "Burden of Renal Dysfunction and Neurologic Complications in Hospitalized Pediatric Heart Failure Unrelated to Congenital Heart Disease: A Multicenter Study" Transplantology 4, no. 4: 209-217. https://doi.org/10.3390/transplantology4040020