The hard-working team at Texas Children’s Adult Congenital Heart Inpatient Unit is celebrating its one-year mark and progress after opening alongside the program’s Outpatient Clinic to care specifically for patients with congenital heart conditions.
The Inpatient Unit team is pleased with their progress, especially during an extra-challenging year thanks to COVID and staffing shortages. In the midst of everything, the unit saw steady growth in inpatient volume, complexity and best of all, maintained excellent outcomes.
“The entire group has been so adaptable and willing to take on challenging cases and to work as a team,” said the unit’s director, Dr. Cameron Dezfulian. “We have pushed the limits in terms of the diagnoses we see, patient mobility and even our own census limits all in order to provide great care and it has gone exceedingly well.”
A few of the milestones the team is celebrating include:
- Some of the Inpatient Unit’s challenging cases included heart transplants, heart failure with temporary and durable ventricular assist device placements and a number of very complex congenital heart repairs that were among referrals that were turned down at other centers across state lines.
- The many patients who received care outside of the unit’s scope include two with strokes, one with tamponade, a dozen peri-partum women with COVID and more. One of the most challenging and gratifying cases was caring for an 18-week pregnant mom with COVID. She was supported with VV ECMO for 10 weeks and ultimately delivered a healthy baby at 32 weeks, saving two lives against all odds. Both mom and baby were home for Christmas!
- All of the unit’s patients treated surgically have bene discharged home to independent living!
Looking ahead, the team plans to bring in patients from across Texas and the U.S. and anticipates reaching 100 percent capacity by the end of 2022, five to six years ahead of projections.
According to Dr. Dezfulian, “Our ICU is a first of its kind, so our success is important beyond the limits of the walls of Texas Children’s. As we gain experience with large volumes and a variety of adult congenital heart disease (ACHD) diagnoses, our findings will be of value to the larger ACHD community.”
A unique hospital experience
What sets the Inpatient Unit apart is its capacity to allow family members to stay with loved ones throughout their hospital stay. Patients remain in the same large room through their procedure and rehabilitation process while family members have access to laundry and respite areas (TV, food). The unit’s advanced monitoring platform (sickbay) permits the care team to assess patients remotely without difficulty and immediately respond to any issues.