Academic Journal

Epidemiological Changes and Improvement in Outcomes of Infective Endocarditis in Europe in the Twenty-First Century: An International Collaboration on Endocarditis (ICE) Prospective Cohort Study (2000-2012)

التفاصيل البيبلوغرافية
العنوان: Epidemiological Changes and Improvement in Outcomes of Infective Endocarditis in Europe in the Twenty-First Century: An International Collaboration on Endocarditis (ICE) Prospective Cohort Study (2000-2012)
المؤلفون: Ambrosioni, Juan, Hernández-Meneses, Marta, Mangoni, Emanuele, Durante, Tattevin, Pierre, Olaison, Lars, Freiberger, Tomas, Hurley, John, Hannan, Margaret M., Chu, Vivian, Hoen, Bruno, Moreno, Asunción, Cuervo, Guillermo, Llopis, Jaume, Miró, José M
المساهمون: University of Barcelona, Università degli studi della Campania "Luigi Vanvitelli" = University of the Study of Campania Luigi Vanvitelli, Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Ponchaillou, ARN régulateurs bactériens et médecine (BRM), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Göteborgs Universitet = University of Gothenburg (GU), Masaryk University Brno (MUNI), Mater Misericordiae University Hospital (The Mater Hospital), Duke University Durham, Groupe de recherche sur l'apprentissage, l'innovation et la connaissance dans les organisations (GRAICO), Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA)), Centre d'Investigation Clinique Antilles-Guyane (CIC - Antilles Guyane), Université des Antilles et de la Guyane (UAG)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pointe-à-Pitre / Abymes Guadeloupe -CHU de Fort de France-Centre Hospitalier Andrée Rosemon Cayenne, Guyane Française, None
المصدر: ISSN: 2193-8229.
بيانات النشر: HAL CCSD
Springer Verlag
سنة النشر: 2023
المجموعة: Université de Rennes 1: Publications scientifiques (HAL)
مصطلحات موضوعية: Cardiac surgery, Epidemiology, Europe, Infective endocarditis, Mortality, [SDV]Life Sciences [q-bio]
الوصف: International audience ; INTRODUCTION: Infective endocarditis (IE) has undergone important changes in its epidemiology worldwide. METHODS: The study aimed to compare IE epidemiological features and outcomes according to predefined European regions and between two different time periods in the twenty-first century. RESULTS: IE cases from 13 European countries were included. Two periods were considered: 2000-2006 and 2008-2012. Two European regions were considered, according to the United Nations geoscheme for Europe: Southern (SE) and Northern-Central Europe (NCE). Comparisons were performed between regions and periods. A total of 4195 episodes of IE were included, 2113 from SE and 2082 from NCE; 2787 cases were included between 2000 and 2006 and 1408 between 2008 and 2012. Median (IQR) age was 63.7 (49-74) years and 69.4% were males. Native valve IE (NVE), prosthetic valve IE (PVE), and device-related IE were diagnosed in 68.3%, 23.9%, and 7.8% of cases, respectively; 52% underwent surgery and 19.3% died during hospitalization. NVE was more prevalent in NCE, whereas device-related IE was more frequent in SE. Higher age, acute presentation, hemodialysis, cancer, and diabetes mellitus all were more prevalent in the second period. NVE decreased and PVE and device-related IE both increased in the second period. Surgical treatment also increased from 48.7% to 58.4% (p < 0.01). In-hospital and 6-month mortality rates were comparable between regions and significantly decreased in the second period. CONCLUSIONS: Despite an increased complexity of IE cases, prognosis improved in recent years with a significant decrease in 6-month mortality. Outcome did not differ according to the European region (SE versus NCE).
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/36922460; hal-04062221; https://hal.science/hal-04062221; https://hal.science/hal-04062221v2/document; https://hal.science/hal-04062221v2/file/s40121-023-00763-8.pdf; PUBMED: 36922460
DOI: 10.1007/s40121-023-00763-8
الاتاحة: https://hal.science/hal-04062221
https://hal.science/hal-04062221v2/document
https://hal.science/hal-04062221v2/file/s40121-023-00763-8.pdf
https://doi.org/10.1007/s40121-023-00763-8
Rights: http://creativecommons.org/licenses/by-nc/ ; info:eu-repo/semantics/OpenAccess
رقم الانضمام: edsbas.7C5ED248
قاعدة البيانات: BASE
الوصف
DOI:10.1007/s40121-023-00763-8