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1. Mental health diagnoses in hospitalized adults with congenital heart disease in the state of Texas: A 10-year review

Author

Amelia E. Mercado, Andrew Well, Alexandra Lamari-Fisher, Michelle Mizrahi, Gregory Johnson, Hanoch Patt, Charles D. Fraser, Jr., Carlos M. Mery, and Ziv Beckerman

Subjects
Adults with congenital heart disease, Mental health, CHD, ACHD, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Background: Adults with congenital heart disease (ACHD) face psychological challenges. Furthermore, ACHD patients experience an under-recognition of mental health disorders (MHD). Understanding the impact of MHDs on ACHD hospitalizations may better inform and help re-design the ACHD care model. Methods: A retrospective review of the Texas Inpatient Discharge Dataset (TIDD) was performed. Data was queried across a ten-year period, from the beginning of 2009 to the end of 2018. ACHD discharges as well as twelve different MHD were identified utilizing ICD-9/10 diagnostic codes. Demographic characteristics and outcomes were recorded. CHD were classified using the American College of Cardiology (ACC)/American Heart Association (AHA) lesion severity score system (LSS). Results: A total of 10,515 eligible discharges were identified, of which 1643(15.6%) had at least one MHD. Demographic differences were found for those with a mental health, anxiety, or depression diagnosis when compared to those without. ACHD patients with MHD had a longer length of stay (LOS) compared to those without (5 [3-8] vs. 4 [2-7] days, p

Published
2022
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2. Trends in adult congenital heart disease hospitalization in Texas over the past decade

Author

Andrew Well, Michelle Mizrahi, Gregory Johnson, Hanoch Patt, Charles D. Fraser, Jr., Carlos M. Mery, and Ziv Beckerman

Subjects
Adult congenital heart disease, Outcomes, Healthcare utilization, Cardiac risk factors, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Background: There are more than 1.4 million adult congenital heart disease (ACHD) patients estimated in the United States. As this population continues to grow, as will their utilization of the healthcare system. Objectives: This study aims to analyze trends in discharges of ACHD patients in the state of Texas from 2009 through 2018. Methods: This is a retrospective review of the Texas Inpatient Discharge Public Use File from 2009 through 2018. Discharges from acute care hospitals of patients ≥18 years of age with an International Classification of Diseases 9 or 10 diagnosis code consistent with a CHD diagnosis which could be categorized by the American Heart Association/American College of Cardiology lesion severity score (LSS). Isolated atrial septal defect and congenital aortic valve insufficiency diagnoses were excluded from the analysis. Results: A total of 10,515 ACHD discharges were identified. Annual discharges increased from 930 to 1,315, a 41% increase during the study period (p-trend

Published
2021
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3. Trends in adult congenital heart disease hospitalization in Texas over the past decade

Author

Carlos M. Mery, Gregory S. Johnson, Ziv Beckerman, Hanoch Patt, Charles D. Fraser, Andrew Well, and Michelle Mizrahi

Subjects
medicine.medical_specialty, Retrospective review, education.field_of_study, Healthcare utilization, Heart disease, business.industry, Population, Cardiac risk factors, Outcomes, medicine.disease, Congenital Aortic Valve Insufficiency, Acute care, RC666-701, Emergency medicine, Medicine, Diseases of the circulatory (Cardiovascular) system, Adult congenital heart disease, Diagnosis code, Medical diagnosis, business, education, Healthcare system
Abstract

Background: There are more than 1.4 million adult congenital heart disease (ACHD) patients estimated in the United States. As this population continues to grow, as will their utilization of the healthcare system. Objectives: This study aims to analyze trends in discharges of ACHD patients in the state of Texas from 2009 through 2018. Methods: This is a retrospective review of the Texas Inpatient Discharge Public Use File from 2009 through 2018. Discharges from acute care hospitals of patients ≥18 years of age with an International Classification of Diseases 9 or 10 diagnosis code consistent with a CHD diagnosis which could be categorized by the American Heart Association/American College of Cardiology lesion severity score (LSS). Isolated atrial septal defect and congenital aortic valve insufficiency diagnoses were excluded from the analysis. Results: A total of 10,515 ACHD discharges were identified. Annual discharges increased from 930 to 1,315, a 41% increase during the study period (p-trend

Published
2021

4. Contributors

Author

Mubbasheer Ahmed, Samuel M. Alaish, Euleche Alanmanou, Plato Alexander, Alaa Aljiffry, Melvin C. Almodovar, Bahaaldin Alsoufi, Marc M. Anders, Nicholas D. Andersen, Judith Ascenzi, Scott I. Aydin, Matthew K. Bacon, David J. Barron, Amy Basken, Kimberly D. Beddows, Melania M. Bembea, Alexis L. Benscoter, Charles P. Bergstrom, Meghan Bernier, Steve Bibevski, David Bichell, Geoffrey L. Bird, Konstantinos Boukas, Edward L. Bove, Ken Brady, Craig S. Broberg, Ronald A. Bronicki, Julie A. Brothers, Kristen M. Brown, John R. Brownlee, Roosevelt Bryant, Amulya Buddhavarapu, Duke E. Cameron, Paul J. Chai, Paul A. Checchia, Ira M. Cheifetz, Clifford Chin, Jill Marie Cholette, Charles R. Cole, David S. Cooper, John D. Coulson, Ralph J. Damiano, Miguel DeLeon, Holly C. DeSena, Nina Deutsch, Pirooz Eghtesady, Branden Engorn, Allen Everett, Lloyd Felmly, Andrew C. Fiore, Gregory A. Fleming, Saul Flores, Rodney Franklin, Charles D. Fraser, Michael Gaies, James J. Gangemi, Lasya Gaur, Nancy S. Ghanayem, Salil Ginde, Katja M. Gist, Allan Goldman, Stuart L. Goldstein, Dheeraj Goswami, Eric M. Graham, Michelle A. Grenier, Stephanie S. Handler, James R. Herlong, Kevin D. Hill, Jennifer C. Romano, Siew Yen Ho, George M. Hoffman, Osami Honjo, Christoph P. Hornik, Daphne T. Hsu, Charles B. Huddleston, Christin Huff, Elizabeth A. Hunt, Salim F. Idriss, Ilias Iliopoulos, Kimberly Ward Jackson, Jeffrey P. Jacobs, Marshall L. Jacobs, James Jaggers, Laura N. Jansen, Christopher M. Janson, Robert Jaquiss, Emily Johnson, Melissa B. Jones, Lindsey Justice, Patricia L. Kane, Tara Karamlou, Vyas M. Kartha, Minoo N. Kavarana, Abigail May Khan, Valerie King, Roxanne E. Kirsch, Paul M. Kirshbom, Christopher J. Knott-Craig, Jeannie Koo, Jennifer Kramer, Catherine D. Krawczeski, Ganga Krishnamurthy, Sapna R. Kudchadkar, Karan R. Kumar, T.K. Susheel Kumar, David M. Kwiatkowski, Jacqueline M. Lamour, Timothy S. Lancaster, Benjamin J. Landis, Javier J. Lasa, Matthew H.L. Liava'a, Daniel J. Licht, Matthew T. Lisi, Ryan Loftin, Rohit S. Loomba, Bradley S. Marino, Thomas S. Maxey, Karen McCarthy, Michael C. McCrory, Inder D. Mehta, Christopher Mehta, Jon N. Meliones, Christine Meliones, Alison Miles, Michael E. Mitchell, Erica Molitor-Kirsch, Jenny A. Montgomery, Lisa Moore, David L.S. Morales, Cara Morin, Nicholas Morin, Steven S. Mou, Ashok Muralidaran, Raghav Murthy, Joseph R. Nellis, Jennifer S. Nelson, Kristen Nelson McMillan, Melanie Nies, John Nigro, Corina Noje, Sarah E. Norris, James O'Brien, George Ofori-Amanfo, Richard G. Ohye, Yoshio Ootaki, Caroline P. Ozment, Giles J. Peek, Autumn K. Peterson, Renuka E. Peterson, John K. Petty, Prashob Porayette, David E. Procaccini, James Quintessenza, William S. Ragalie, William Ravekes, Tia T. Raymond, Andrew Redington, Kyle J. Rehder, Becky Riggs, Ramon Julio Rivera, Jennifer Roark, Lewis H. Romer, Amy Ryan, Thomas D. Ryan, Beth A. Rymeski, Peter Sassalos, Jaclyn E. Sawyer, Frank Scholl, Kevin Patrick Schooler, Jennifer Schuette, Jamie McElrath, Daniel R. Sedehi, Priya Sekar, Donald H. Shaffner, Sanket Shah, Irving Shen, Avinash K. Shetty, Edd Shope, Darla Shores, Ming-Sing Si, Nida Siddiqi, Leah Simpson, Zdenek Slavik, Heidi A.B. Smith, Zebulon Z. Spector, Allison L. Speer, Philip Spevak, Dylan Stewart, Robert D. Stewart, James St. Louis, Matthew L. Stone, Erik Su, Kelly A. Swain, Cliff M. Takemoto, Sarah Tallent, Ravi R. Thiagarajan, Chani Traube, Ephraim Tropp, Rocky Tsang, Sebastian C. Tume, Joseph W. Turek, Jennifer L. Turi, Immanuel I. Turner, James S. Tweddell, Chinwe Unegbu, Ross M. Ungerleider, Jamie Dickey Ungerleider, Graham D. Ungerleider, Luca A. Vricella, Eric L. Vu, Rajeev S. Wadia, Michael J. Walsh, Kevin M. Watt, Karl Welke, Renée Willett, Derek A. Williams, Ronald K. Woods, Charlotte Woods-Hill, and Tharakanatha R. Yarrabolu

Published
2019
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5. Heart Disease and Connective Tissue Disorders

Author

Duke E. Cameron, Charles D. Fraser, Luca A. Vricella, and Kristen Nelson McMillan

Subjects
Aortic dissection, Connective Tissue Disorder, medicine.medical_specialty, Heart disease, business.industry, Coarctation of the aorta, Disease, medicine.disease, Bicuspid aortic valve, medicine.anatomical_structure, Internal medicine, Ductus arteriosus, cardiovascular system, Cardiology, Medicine, business, Aortic rupture
Abstract

In recent years there has been a growing awareness of and focus on connective tissue diseases (CTDs) and associated cardiovascular pathology, particularly in children. These diseases are hereditary disorders of the connective tissues of the body. Many CTDs impose risk of structural heart defects, including patent ductus arteriosus, bicuspid aortic valve, coarctation of the aorta, and atrioventricular valve disease. Children with CTDs are prone to aortic dissection, aneurysm, and aortic rupture, and in fact, aortic dissection is the primary cause of morbidity and mortality in the most common CTDs. Advances in genetic analysis have had a significant impact on the identification and management of children with CTDs, providing a better understanding of their cause and phenotypes, improving management strategies, and offering insights into long-term prognosis. In this chapter we provide a description of the most common CTDs that affect the pediatric population and their associated cardiovascular pathology.

Published
2019
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6. List of Contributors

Author

Iki Adachi, Jyothsna Akam-Venkata, Christopher S. Almond, Jeffrey B. Anderson, Jean Ballweg, Neha Bansal, Christine Benhase, Daniel Bernstein, Elizabeth D. Blume, Luke J. Burchill, Michael Burch, Sarah Burki, Jonathan W. Byrnes, Antonio G. Cabrera, Bryan Cannon, Charles E. Canter, Anthony C. Chang, Steven D. Colan, Jennifer L. Conway, Weining David Xu, Ryan R. Davies, Susan W. Denfield, Anne I. Dipchand, Mary T. Donofrio, William J. Dreyer, David J. Driscoll, Lucas Eastaugh, Melanie D. Everitt, James C. Fang, Theresa J. Faulkner, Alejandro A. Floh, Vivian I. Franco, Charles D. Fraser, Mark K. Friedberg, Francis Fynn-Thompson, Kristen George, Matthew J. Gillespie, Andrew C. Glatz, David J. Goldberg, Stuart L. Goldstein, Samuel Hanke, Karen Hendricks, Ray Hershberger, Ziyad M. Hijazi, Timothy M. Hoffman, Ralf J. Holzer, Alexander Hussey, Julia H. Indik, Frank Ing, Dunbar Ivy, Robert D.B. Jacquiss, Edgar T. Jaeggi, Emily Jean-St.-Michel, Aamir Jeewa, John L. Jefferies, Jason Johnson, Jonathan N. Johnson, Ahmad Kaddourah, Paul F. Kantor, Jeffrey J. Kim, Steven J. Kindel, James K. Kirklin, Bernhard Kuhn, Jennifer Lail, Kory J. Lavine, Kimberly Y. Lin, Steven E. Lipshultz, Angela Lorts, Kevin O. Maher, Douglas L. Mann, Frank I. Marcus, Renee Margossian, Bradley S. Marino, Jacob Mathew, Tim Maul, Luisa Mestroni, Shelley D. Miyamoto, Ana Morales, David L.S. Morales, Maryam Y. Naim, Stephanie J. Nakano, Deipanjan Nandi, David P. Nelson, Michael L. O’Byrne, Matthew J. O’Connor, Alexander R. Opotowsky, Francis D. Pagani, Elfriede Pahl, Daniel J. Penny, Jack F. Price, Ilaria Puggia, Chitra Ravishankar, Andrew N. Redington, Jonathan J. Rome, David N. Rosenthal, Joseph W. Rossano, Heather J. Ross, Robert D. Ross, Teisha J. Rowland, Thomas D. Ryan, Kurt R. Schumacher, Matthew C. Schwartz, Steven M. Schwartz, Robert E. Shaddy, Maully J. Shah, Jacob Simmonds, Kathleen E. Simpson, Gianfranco Sinagra, Juli Sublett, Patrick Sullivan, Hussam Suradi, David L. Sutcliffe, Cheryl Takao, Michael Taylor, Timothy Thiruchelvam, Philip T. Thrush, Jeffrey A. Towbin, James S. Tweddell, Simon Urschel, Christina J. VanderPluym, Philip Wackel, Jack Wallen, Peter Wearden, Robert G. Weintraub, Scott L. Weiss, Shawn West, James T. Willerson, Ivan Wilmot, Judith Wilson, Mahsun Yuerek, and Matthew Zinn

Published
2018
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7. Long-Term Ventricular Assist Devices in Children

Author

Sarah Burki, Charles D. Fraser, and Iki Adachi

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, medicine.disease, Lower risk, Term (time), Transplantation, Size mismatch, Heart failure, Ventricular assist device, medicine, Intensive care medicine, Outpatient management, business, Selection (genetic algorithm)
Abstract

The number of children with chronic end-stage heart failure has been increasing in the setting of static organ availability for cardiac transplantation. This has resulted in a growing demand for ventricular assist device (VAD) support. Due to lower risk profiles and the potential for outpatient management, there is an ongoing trend toward the use of adult continuous-flow devices in children. Caution must be taken, however, that there would be inherent issues related to “patient-device size mismatch” with this approach. In addition, it needs to be noted that there are certain situations where the ordinal VAD support may not be a suitable option. Appropriate patient- and device selection are of utmost importance to provide the best possible outcome with pediatric VAD support.

Published
2018
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8. Congenital Heart Disease

Author

Charles D. Fraser and Kathleen E. Carberry

Subjects
medicine.medical_specialty, Heart disease, business.industry, Internal medicine, medicine, Cardiology, medicine.disease, business
Published
2012
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9. Contributors

Author

Andrew B. Adams, Charles A. Adams, Ahmed Al-Mousawi, Waddah B. Al-Refaie, Nancy L. Ascher, Stanley W. Ashley, Paul S. Auerbach, Brian Badgwell, Faisal G. Bakaeen, Philip S. Barie, B. Timothy Baxter, R. Daniel Beauchamp, Yolanda Becker, Paul R. Beery, David H. Berger, Joshua I.S. Bleier, Daniel Borja-Cacho, Howard Brody, Bruce D. Browner, Thomas A. Buchholz, Brian B. Burkey, Kathleen E. Carberry, Charlie C. Cheng, Kenneth J. Cherry, Lori Choi, Danny Chu, Dai H. Chung, William G. Cioffi, Michael Coburn, Marion E. Couch, Michael D’Angelica, Alan Dardik, Merril T. Dayton, Jose J. Diaz, Quan-Yang Duh, William D. Dutton, Timothy J. Eberlein, James S. Economou, E. Christopher Ellison, Steven R.T. Evans, B. Mark Evers, Farhood Farjah, Mitchell P. Fink, Nicholas A. Fiore, David R. Flum, Yuman Fong, Charles D. Fraser, Julie A. Freischlag, Gerald M. Fried, Robert D. Fry, David A. Fullerton, Jaime Gasco, Gerd G. Gauglitz, Mms, Jason P. Glotzbach, S. Peter Goedegebuure, Raja R. Gopaldas, Marjorie C. Green, Oliver L. Gunter, Geoffrey C. Gurtner, Fadi Hanbali, John B. Hanks, Alden H. Harken, Jennifer A. Heller, David N. Herndon, Michael S. Higgins, Asher Hirshberg, Ginger E. Holt, Michael D. Holzman, Kelly K. Hunt, Patrick G. Jackson, Eric H. Jensen, Marc Jeschke, Howard W. Jones, Allan D. Kirk, Kimberly S. Kirkwood, Sae Hee Ko, Tien C. Ko, Seth B. Krantz, Mahmoud N. Kulaylat, Terry C. Lairmore, Christian P. Larsen, Mimi Leong, Michael T. Longaker, Robert R. Lorenz, John Maa, Najjia N. Mahmoud, David M. Mahvi, Mary S. Maish, Mark A. Malangoni, David J. Maron, Silas T. Marshall, Abigail E. Martin, R. Shayn Martin, Nader Massarweh, Addison K. May, Mary H. Mcgrath, Shaun Mckenzie, Kelly M. Mcmasters, J. Wayne Meredith, Dean J. Mikami, Richard S. Miller, Aaron Mohanty, Jeffrey F. Moley, Kevin Murphy, Elaine E. Nelson, Heidi Nelson, David Netscher, Leigh Neumayer, Robert L. Norris, Brant K. Oelschlager, Joel T. Patterson, Carlos A. Pellegrini, Rebecca P. Petersen, Linda G. Phillips, Iraklis I. Pipinos, Jason Pomerantz, Russell G. Postier, Donald S. Prough, Joe B. Putnam, Peter Rhee, Taylor S. Riall, William O. Richards, Noe A. Rodriguez, Kendall R. Roehl, Michael J. Rosen, Ronnie A. Rosenthal, Ira Rutkow, Leslie J. Salomone, Herbert S. Schwartz, Steven R. Shackford, Julia Shelton, Edward R. Sherwood, Jason K. Sicklick, Michael B. Silva, Samuel Singer, Michael J. Sise, Philip W. Smith, Julie Ann Sosa, Ronald A. Squires, Michael Stein, Andrew Stephen, Ronald M. Stewart, Debra L. Sudan, Marcus C.B. Tan, Ali Tavakkolizadeh, James S. Tomlinson, Courtney M. Townsend, Margaret C. Tracci, Richard H. Turnage, Robert Udelsman, Marshall M. Urist, Cheryl E. Vaiani, Daniel Vargo, Selwyn M. Vickers, Bradon J. Wilhelmi, Courtney G. Williams, Felicia N. Williams, James C. Yang, and Michael W. Yeh

Published
2012
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11. Contributors

Author

Judith A. Ascenzi, Robyn J. Barst, Robert D. Bart, Frank E. Berkowitz, Katherine Biagas, David P. Bichell, Ross Macrae Bremner, Duke E. Cameron, Michael P. Carboni, Ira M. Cheifetz, Steve Davis, Antonio DeMaio, Jayant K. Deshpande, Scott M. Eleff, David Epstein, Thomas O. Erb, Barbara A. Fivush, Charles D. Fraser, J. William Gaynor, William J. Greeley, Laura A. Hastings, Eugenie S. Heitmiller, Mark A. Helfaer, Allan J. Hordof, Stephen B. Horton, Daphne T. Hsu, Elizabeth A. Hunt, Laura Ibsen, James Jaggers, David R. Jobes, James A. Johns, Patricia A. Kane, Ronald J. Kanter, Tom R. Karl, Frank H. Kern, Paul M. Kirshbom, Dorothy G. Lappe, Maureen A. Lefton-Greif, Andrew J. Lodge, Josephine M. Lok, Bradley S. Marino, Lynn D. Martin, Lynne G. Maxwell, Brian W. McCrindle, Jon N. Meliones, Coleen Elizabeth Miller, Anne M. Murphy, Catherine A. Neill, Alicia M. Neu, David G. Nichols, John J. Nigro, Daniel Nyhan, Martin P. O'Laughlin, Charles N. Paidas, Rulan Parekh, F. Bennett Pearce, Timothy Phelps, Lorraine C. Racusen, J. Mark Redmond, Richard E. Ringel, James L. Robotham, Charles L. Schleien, Scott R. Schulman, Laureen M. Sena, Shaun P. Setty, Donald H. Shaffner, Irving Shen, Michael J. Silka, Arthur J. Smerling, Philip J. Spevak, Thomas L. Spray, Vaughn A. Starnes, James M. Steven, Dylan Stewart, James D. St. Louis, Sarah Tabbutt, Masao Takata, Robert Charles Tasker, W. Reid Thompson, Joseph D. Tobias, Peter Mark Trinkaus, Ross M. Ungerleider, Gil Wernovsky, Randall C. Wetzel, Jeannette R.M. White, and Aaron L. Zuckerberg

Published
2006
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