Prognostic impact of cardiac surgery in left-sided infective endocarditis according to risk profile
| العنوان: | Prognostic impact of cardiac surgery in left-sided infective endocarditis according to risk profile |
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| المؤلفون: | Carmen Olmos, Gonzalo Cabezón, Manuel Carnero, Pablo Elpidio Garcia Granja, Emilio Monguió, Salvatore De Stefano, Isidre Vilacosta, Luis Maroto, Carmen Sáez, Itziar Gómez Salvador, Adrián Jerónimo, Javier B Pérez, María de Miguel, Paloma Pulido, J. Alberto San Román, Manuel Carrasco-Moraleja, Javier Lopez |
| المصدر: | Heart. 107:1987-1994 |
| بيانات النشر: | BMJ, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Heart Diseases, Disease, Risk Assessment, Risk profile, Risk Factors, Internal medicine, Active phase, medicine, Left sided infective endocarditis, Humans, Hospital Mortality, Cardiac Surgical Procedures, Propensity Score, Aged, Retrospective Studies, Framingham Risk Score, business.industry, Endocarditis, Bacterial, Middle Aged, Prognosis, medicine.disease, Cardiac surgery, Survival Rate, Spain, Infective endocarditis, Propensity score matching, Female, Cardiology and Cardiovascular Medicine, business, Follow-Up Studies |
| الوصف: | ObjectiveTo evaluate the prognostic impact of urgent cardiac surgery on the prognosis of left-sided infective endocarditis (LSIE) and its relationship to the basal risk of the patient and to the surgical indication.Methods605 patients with LSIE and formal surgical indication were consecutively recruited between 2000 and 2020 among three tertiary centres: 405 underwent surgery during the active phase of the disease and 200 did not despite having indication. The prognostic impact of urgent surgery was evaluated by multivariable analysis and propensity score analysis. We studied the benefit of surgery according to baseline mortality risk defined by the ENDOVAL score and according to surgical indication.ResultsSurgery is an independent predictor of survival in LSIE with surgical indication both by multivariable analysis (OR 0.260, 95% CI 0.162 to 0.416) and propensity score (mortality 40% vs 66%, pConclusionsSurgery during active LSIE seems to significantly reduce in-hospital mortality. The higher the risk, the higher the improvement in outcome. |
| تدمد: | 1468-201X 1355-6037 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::79d678316906199c7e93ad17aa66d80a https://doi.org/10.1136/heartjnl-2021-319661 |
| رقم الأكسشن: | edsair.doi.dedup.....79d678316906199c7e93ad17aa66d80a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1468201X 13556037 |
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