Academic Editor: Jerome L. Fleg
Background: There are almost 2 million adult patients with congenital
heart disease in China, and the number of moderate and severe patients is
increasing. However, few studies have investigated the risk of serious adverse
events (SAE) after catheterization among them. The aim of this study was to
identify risk factors for SAE related to cardiac catheterization and to provide
the risk scoring model for predicting SAE. Methods: A total of 690
patients with moderate and severe adult patients with congenital heart disease
(ACHD) who underwent cardiac catheterization in Wuhan Asian Heart Hospital
Affiliated to Wuhan University of Science and Technology from January 2018 to
January 2022 were retrospectively collected and subsequently divided into a
modeling group and a verification group. A univariate analysis was performed on
the identified SAE risk factors, and then significant factors were included in
the multivariate logistic regression model to screen for independent predictors
of SAE. The receiver operating characteristic curve (ROC) and the Hosmer-Lemeshow
test were used to evaluate the discrimination and calibration of the model,
respectively. Results: A SAE occurred in 69 (10.0%) of the 690
catheterization procedures meeting inclusion criteria. The established SAE risk
calculation formula was logit(p) = –6.134 + 0.992