medical decision support medical decision support
Sign In

ICU Admission Tool for Congenital Heart Catheterization (iCATCH) of Quinn et al: Precatheterization Cardiac Status Categories with Two Ventricles

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, two ventricles

 

Parameters:

(1) oxygen saturation in percent

(2) right ventricular systolic pressure as percent of systemic

(3) anticipated pulmonary vascular resistance in indexed Woods Units (WU)

(4) ventricular function

(5) systemic atrioventricular valve regurgitation (AVVR)

 

Categories of risk

(1) low

(2) medium

(3) high

 

Parameter

Finding

Category

saturation

>= 95%

1

 

85 to 95%

2

 

< 85%

3

right ventricular systolic pressure

< 50% of systemic

1

 

50 to 100% of systemic

2

 

> 100% systemic

3

anticipated pulmonary vascular resistance

normal (< 4 iWU)

1

 

moderately elevated (-8 iWU)

2

 

severely elevated (> 8 iWU)

3

ventricular function

normal or mild dysfunction

1

 

moderate or severe dysfunction

3

systemic AVVR

none or mild

1

 

moderate

2

 

severe

3

 


To read more or access our algorithms and calculators, please log in or register.

Specialty