{"doi":"10.1093/ehjacc/zuaf161","title":"Young adults in the cardiac intensive care unit: insights from the Critical Care Cardiology Trials Network registry","abstract":"AIMS: While the aging cardiac intensive care unit (CICU) population has been well studied, young adults represent a distinct and underexplored subgroup. We aimed to characterize the demographics, clinical presentations, resource utilization, and outcomes of young adults admitted to contemporary CICUs. METHODS AND RESULTS: We analysed consecutive adult CICU admissions from 2018 to 2023 within the Critical Care Cardiology Trials Network, a multicentre registry of advanced CICUs in North America. Patients aged 18-39 years were classified as 'young adults' and compared with those aged ≥40 years. Among 29 035 CICU admissions, 6.7% (n = 1959) were aged 18-39 years. Young adults were more likely to be female (40.0% vs. 36.4%, P = 0.001) and non-White (55.3% vs. 43.0%, P < 0.001), with fewer traditional cardiovascular risk factors. Heart failure was the leading admission diagnosis among young adults (26.4% vs. 19.5%, P < 0.001). Compared with older adults, young patients were more likely to present with cardiogenic shock (22.4% vs. 18.7%, P < 0.001) and cardiac arrest (12.7% vs. 10.6%, P = 0.003). Utilization of critical care therapies was higher, including mechanical circulatory support (13.1% vs. 11.4%, P = 0.02), with extracorporeal membrane oxygenation comprising a greater share (29.3% vs. 9.9%, P < 0.001). Young admissions had longer CICU stays [2.7 (1.2-5.8) vs. 2.2 (1.1-4.6) days, P < 0.001]. CICU mortality (6.5% vs. 10.5%, P < 0.001) and hospital mortality (9.5% vs. 14.4%, P < 0.001) were significantly lower in the young. CONCLUSION: Young adults admitted to the CICU represent a clinically distinct population, with higher rates of high-acuity presentations and intensive resource use yet lower short-term mortality.","journal":"European Heart Journal Acute Cardiovascular Care","year":2025,"id":549578,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":22.178386323199504,"corpus_rank":9377,"citation_count":1,"citer_count":1,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5477,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1211924,"name":"Tanya Sharma","orcid":"0000-0001-9035-5486","position":1,"is_corresponding":false},{"id":1314063,"name":"Uzair Mahmood","orcid":"0000-0001-8273-0514","position":2,"is_corresponding":false},{"id":1444305,"name":"Damien P. Smith","orcid":null,"position":3,"is_corresponding":false},{"id":420371,"name":"David D. Berg","orcid":"0000-0002-0366-5492","position":4,"is_corresponding":false},{"id":380427,"name":"Erin A. Bohula","orcid":"0000-0002-5559-8172","position":5,"is_corresponding":false},{"id":639101,"name":"Sunit‐Preet Chaudhry","orcid":"0000-0002-2788-7532","position":6,"is_corresponding":false},{"id":281501,"name":"Lori B. Daniels","orcid":"0000-0002-4841-9922","position":7,"is_corresponding":false},{"id":1443782,"name":"Xuan Ding","orcid":"0000-0002-4905-3061","position":8,"is_corresponding":false},{"id":639102,"name":"Christopher B. Fordyce","orcid":"0000-0002-4050-1518","position":9,"is_corresponding":false},{"id":536814,"name":"Daniel Gerber","orcid":"0000-0001-6267-2409","position":10,"is_corresponding":false},{"id":899714,"name":"Michael Goldfarb","orcid":"0000-0001-9790-1232","position":11,"is_corresponding":false},{"id":272398,"name":"Jianping Guo","orcid":"0000-0002-8158-0101","position":12,"is_corresponding":false},{"id":639103,"name":"Michael C. Kontos","orcid":"0000-0001-7195-5195","position":13,"is_corresponding":false},{"id":899719,"name":"Shuangbo Liu","orcid":"0000-0002-8722-0182","position":14,"is_corresponding":false},{"id":954172,"name":"Adriana Luk","orcid":"0000-0003-3042-4210","position":15,"is_corresponding":false},{"id":639104,"name":"Venu Menon","orcid":"0000-0003-4410-2677","position":16,"is_corresponding":false},{"id":902203,"name":"Siddharth M. Patel","orcid":"0000-0002-4637-4361","position":17,"is_corresponding":false},{"id":639106,"name":"Robert O. Roswell","orcid":"0000-0003-4358-6534","position":18,"is_corresponding":false},{"id":264819,"name":"David A. Morrow","orcid":"0000-0002-9589-5382","position":19,"is_corresponding":false},{"id":900283,"name":"Howard A. Cooper","orcid":null,"position":20,"is_corresponding":false},{"id":850005,"name":"Ameesh Isath","orcid":"0000-0002-7992-8113","position":0,"is_corresponding":true}],"reference_count":9,"raw_metadata":null,"created_at":"2026-07-19T02:54:07.823422Z","pmid":"41416463","pmcid":"PMC13185941","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}