Impact of surgery on the mortality of infective endocarditis in a hospital without cardiac surgery
| Autor: | S. Scarleth Mendoza Lizardo, Rosa Escudero-Sánchez, María Velasco Arribas, Juan Emilio Losa García, Elena Batlle López, Carolina Gutierrez |
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| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Revista Española de Quimioterapia. 33:436-443 |
| ISSN: | 1988-9518 0214-3429 |
| Popis: | Background. Infective endocarditis has a high morbidity and mortality and requires a coordinated medical-surgical management. The objective was to analyse the impact of surgery on mortality in a hospital without cardiac surgery. Material and methods. Evaluation of a prospective cohort of patients with infective endocarditis diagnosed between August 2011 and January 2016 according to modified Duke’s criteria. Results. Sixty-four patients were included, of whom seventeen patients were operated (26.6%). Mortality was 32.8% and it was associated with chronic obstructive pulmonary disease history, staphylococci coagulase-negative and the appearance of complications, as valvular insufficiency and embolisms in the central nervous system; cardiac surgery was not associated with mortality. Four patients (6,6%) were not operated despite indication of cardiac surgery. The main reason for not been intervened was the poor presurgical prognosis (44.7%). Conclusions. Mortality due to infective endocarditis in a hospital without cardiac surgery is high. The need for interhospital teams is strengthened. |
| Databáze: | OpenAIRE |
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