Document Type

Article

Publication Date

9-2025

Identifier

DOI: 10.1017/S1047951125109293

Abstract

CHD has been historically associated with the development of cerebral abscess. This retrospective cohort study examines the association of CHD with the occurrence of cerebral abscess in an inpatient paediatric population. We analysed data from the Pediatric Health Information System database, an administrative database that captures data from participating children's hospitals in the United States. We included all patients admitted to participating paediatric ICUs between 2016 and 2021 for a total of 426,029 admissions. Including all admissions, 1,387 (0.3%) patients experienced a cerebral abscess, and of 80,927 (19%) patients with CHD, only 88 (0.1%) experienced a cerebral abscess (odds ratio 0.29, 0.23-0.36). Patients with seizures, cerebral oedema, stroke, shock, surgical intervention, and older age were associated with increased risk of development of a cerebral abscess. Interestingly, the development of a cerebral abscess was not associated with an increased risk of mortality (p = 0.937). When compared to patients without CHD admitted to the paediatric ICU, those with CHD appear less likely to develop a cerebral abscess. This study reiterates that cerebral abscess is a rare occurrence and does not demonstrate any significant association with CHD in a contemporary, inpatient population in the United States.

Journal Title

Cardiology in the young

Volume

35

Issue

9

First Page

1913

Last Page

1916

MeSH Keywords

Humans; Brain Abscess; Male; Female; Retrospective Studies; United States; Child, Preschool; Databases, Factual; Infant; Child; Heart Defects, Congenital; Risk Factors; Adolescent; Infant, Newborn; Incidence; Intensive Care Units, Pediatric

PubMed ID

40977285

Keywords

CHD; Cerebral abscess; cyanotic heart disease

Comments

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.

Publisher's Link: https://www.cambridge.org/core/journals/cardiology-in-the-young/article/association-between-chd-and-cerebral-abscess-insights-from-a-national-database/409D43210F787336FFBBE9AD32F32821

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