ICU Admission Tool for Congenital Heart Catheterization (iCATCH) of Quinn et al: Model for ICU Admission

Description

Quinn et al report the ICU Admission Tool for Congenital Heart Catheterization (iCATCH) for evaluating a patient with congenital heart disease. This uses catheterization risk categories and categories for pre-procedure cardiac status. The authors are from Boston Children's Hospital.

Patient selection: congenital heart disease prior to cardiac catheterization procedure

Outcome: ICU admission after the procedure

Parameters:

(1) body weight in kilograms

(2) presence of systemic illness

(3) cardiac catheterization or surgery in the past 90 days

(4) iCATCH risk category, from 1 to 5

Parameter	Finding	Odds Ratio
body weight	< 5 kg	5.33
	5 to 9.9 kg	2.16
	>= 10 kg	1
systemic illness	no	1
	yes	3.18
cardiac intervention	no	1
	yes	2.16
iCATCH category	Category 1	1
	Category 2	3.89
	Category 3	5.68
	Category 4	6.24
	Category 5	12.4

cumulative product of odds ratios =

= PRODUCT(OR for all 4 parameters)

Interpretation:

• minimum product: 1

• maximum product: 454

• The higher the product the greater the risk of ICU admission.

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ICU Admission Tool for Congenital Heart Catheterization (iCATCH) of Quinn et al: Model for ICU Admission

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