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Heart failure (HF) is the leading cause of death in adult patients with congenital heart disease (ACHD). No risk prediction model exists for HF hospitalization (HFH) for ACHD patients. We aimed to develop a clinically relevant one-year risk prediction system to identify ACHD patients at high risk for HFH. Data source was the Quebec CHD Database. A retrospective cohort including all ACHD patients aged 18-64 (1995-201 was constructed for assessing the cumulative risk of HFH adjusting for competing risk of death. To identify one-year predictors of incident H