Predictors of mortality in patients with prosthetic valve infective endocarditis: A nation-wide multicenter study


Elbey M. A., KALKAN M. E., Akdag S., Ozbek K., Eren N. K., Demirtas S., ...Daha Fazla

Cardiology Journal, cilt.20, sa.3, ss.323-328, 2013 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 3
  • Basım Tarihi: 2013
  • Doi Numarası: 10.5603/cj.2013.0079
  • Dergi Adı: Cardiology Journal
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.323-328
  • Anahtar Kelimeler: infective endocarditis, mortality, prognostic factors
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: Our aim was to investigate the clinical and prognostic features of the patients with prosthetic valve endocarditis (PVE) in a multicenter nation-wide study. Methods: The present nation-wide study consisted of 75 consecutive patients with PVE treated at 13 major hospitals in Turkey from 2005 to 2012. Results: The patients who died during follow-up were significantly older than the survivors and had higher C-reactive protein (CRP), creatinine, poor NYHA functional class and large vegetations. High creatinine level (odds ratio [OR] 2.6, 95% confidence interval [CI] 1.14--6.13), poor functional status (OR 24.5; 95% CI 3.1-196.5) and high CRP (OR 1.02; 95% CI 1.00-1.03) measured on admission were independent risk associates for in-hospital mortality Conclusions: High creatinine level, poor functional status and high CRP measured on admission were independent risk associates for in-hospital mortality, whereas a NYHA class of III/IV and high CRP reflected independent risk for stroke/mortality end point. © 2013 Via Medica.