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52 (95% CI 1.72-3.69), ≥1 re-intervention after initial repair 1.56 (95% CI 1.09-2.22), body mass index 1.04 (95% CI 1.01-1.07), log2 NT-proBNP (pmol/L) 1.48 (95% CI 1.32-1.65). At external validation, the model showed good discrimination (C-statistic 0.79, 95% CI 0.74-0.83) and excellent calibration (calibration-in-the-large=-0.002; calibration slope = 0.99). These data support the validity and applicability of a parsimonious ACHD risk model based on 5 readily available clinical variables to accurately predict the 1-year risk of death,