Short- and long-term mortality in patients with left-sided infective endocarditis not undergoing surgery despite indication
| العنوان: | Short- and long-term mortality in patients with left-sided infective endocarditis not undergoing surgery despite indication |
|---|---|
| المؤلفون: | Lourdes Mateu, Nuria Vallejo Camazón, Cinta Llibre, Gladys Juncà, Jorge López Ayerbe, Germán Cediel, Ainhoa Vivero, Raquel Núñez Aragón, María Dolores Quesada, Antoni Bayes-Genis, Albert Teis, Nieves Sopena, Elena Ferrer, Francisco Gual, Elisabeth Berastegui, Lluisa Pedro-Botet, Christian Muñoz Guijosa |
| المصدر: | Revista Española de Cardiología (English Edition). 73:734-740 |
| بيانات النشر: | Elsevier BV, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, Diabetes mellitus, medicine, Clinical endpoint, Humans, Hospital Mortality, Survivors, Retrospective Studies, Endocarditis, Proportional hazards model, business.industry, Endocarditis, Bacterial, General Medicine, Prognosis, medicine.disease, Surgery, Hospitalization, Heart failure, Infective endocarditis, Propensity score matching, Etiology, business, Atrioventricular block |
| الوصف: | INTRODUCTION AND OBJECTIVES In infective endocarditis (IE), decisions on surgical interventions are challenging and a high percentage of patients with surgical indication do not undergo these procedures. This study aimed to evaluate the short- and long-term prognosis of patients with surgical indication, comparing those who underwent surgery with those who did not. METHODS We included 271 patients with left-sided IE treated at our institution from 2003 to 2018 and with an indication for surgery. There were 83 (31%) surgery-indicated not undergoing surgery patients with left-sided infective endocarditis (SINUS-LSIE). The primary outcome was all-cause death by day 60 and the secondary outcome was all-cause death from day 61 to 3 years of follow-up. Multivariable Cox regression and propensity score matching were used for the analysis. RESULTS At the 60-day follow-up, 40 (21.3%) surgically-treated patients and 53 (63.9%) SINUS-LSIE patients died (P |
| تدمد: | 1885-5857 |
| DOI: | 10.1016/j.rec.2019.09.011 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::565974c872edf04aebfe5910bcb3da3b https://doi.org/10.1016/j.rec.2019.09.011 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....565974c872edf04aebfe5910bcb3da3b |
| قاعدة البيانات: | OpenAIRE |
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This study aimed to evaluate the short- and long-term prognosis of patients with surgical indication, comparing those who underwent surgery with those who did not. METHODS We included 271 patients with left-sided IE treated at our institution from 2003 to 2018 and with an indication for surgery. There were 83 (31%) surgery-indicated not undergoing surgery patients with left-sided infective endocarditis (SINUS-LSIE). The primary outcome was all-cause death by day 60 and the secondary outcome was all-cause death from day 61 to 3 years of follow-up. Multivariable Cox regression and propensity score matching were used for the analysis. 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