Predictors of mortality in patients with left-side infective endocarditis, the ESC-EORP EURO-ENDO registry
| Autor: | Sebastiaan C.A.M. Bekkers, P. Lancellotti, F E Calvo-Iglesias, Euro-Endo Investigators, J Ternacle, Gilbert Habib, B Lung, J Lozano Torres, K L Chan, Carmen Olmos, Sohee Park, J Separovic-Hanzevacki, Antonia Sambola, Christophe Tribouilloy, F Arregle, V Reskovic Luksic |
|---|---|
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | European Heart Journal. 42 |
| ISSN: | 1522-9645 0195-668X |
| Popis: | Background/Introduction Infective endocarditis (IE) is associated with high in-hospital mortality, ranging from 16% to 25%, despite improvement in diagnostic and therapeutic strategies, mainly due to complications and heterogeneity of the disease. Baseline risk stratification is essential, in order to focus an aggressive management toward high-risk patients. Purpose We sought to assess the association between surgery and 30-day mortality rate as related to vegetation size. Methods The ESC-EORP EURO-ENDO registry is a prospective multicentre observational study of patients presenting with definite or possible IE in Europe and ESC-affiliated/non-affiliated countries. Patients were included from January 2016 to 31 March 2018 in 156 centers from 40 countries. Clinical data, blood test analysis and multi-modality imaging tests (echocardiography, computed tomography, PET-CT, magnetic resonance) were collected. Primary endpoint was 30-day mortality. Multivariable logistic regression analysis was performed to assess variables associated with 30-day mortality. Besides, univariable analysis was performed to assess best vegetation size cut-off related to 30-day mortality. Results Among 2171 patients with left-side IE, 257 patients (11.8%) died during the first 30 days of IE diagnosis. Patient characteristics and univariable analysis are summarized in TABLE 1. Cut-off value for best vegetation size related to 30-day mortality was vegetation length >14mm, with a HR =2.00 (95% CI 1.59–2.51, p14mm (OR =2.68, 95% CI [1.96–3.67], p2mg/dL (OR =2.45, 95% CI [1.73–3.47], p Conclusion Left-side infective endocarditis had a high 30-day mortality rate (11.8%). Presence of a large vegetation size (>14mm), embolic events, hemorrhagic stroke, renal failure, presence of heart failure or cardiogenic shock were associated with an increase in 30-day mortality. Performing cardiac surgery had a protective effect. Funding Acknowledgement Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): ESC-EORP EURO-ENDO project from the ESC society |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|