2015 ESC Guidelines for the management of infective endocarditis. Summary document prepared by the Czech Society of Cardiology

Linhartová, Kateřina; Beneš, Jiří; Gregor, P

doi:10.1016/j.crvasa.2015.12.004

Cited by 18 publications

(34 citation statements)

References 2 publications

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“…These events have been confirmed previously to be risk factors for mortality in IE patients. [8,24,25] We observed that elder patients with surgical therapy had a lower mortality rate compared with patients not operated during the one-year follow-up. Other recent reports also reached the same conclusion.…”

Section: Surgical Therapy and Prognosis For Patients≥65 Year Old Withmentioning

confidence: 70%

“…Patients with definite IE from January 1, 2007 to December 31, 2016 were reviewed. All patients were identified according to the modified Duke criteria [8] and patients under 16 years old were excluded.…”

Section: Patient Selection and Study Designmentioning

confidence: 99%

“…Surgical indications were based on the European Society of Cardiology (ECS) guidelines: heart failure, uncontrolled infection and prevention of embolism were the main indications of surgery. [8,9] The main outcome was one-year all-cause mortality. The one-year follow-up data were collected from the patients' latest visits to our hospital.…”

Section: Clinical Parameters and Definitionmentioning

confidence: 99%

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The clinical features and prognosis of infective endocarditis in the elderly from 2007-2016 in a tertiary hospital in China

Chen

Xiao

et al. 2019

Preprint

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Background Infective endocarditis (IE) especially in the elderly is a serious disease, with a worse prognosis. Methods A retrospective cohort study was conducted. A total of 405 patients with definite IE were divided into three groups: 205 patients under 50 years old, 141 patients between 50 and 64 years old and 59 patients over 65 years old. Results For older patients, clinical symptoms such as fever, anemia, and heart murmur were as common as the younger patients. IE in old patients had more frequent nosocomial origin (P=0.007) and tended to be more frequent with bad oral hygiene (p=0.008). The most frequent isolated pathogens in the old groups was streptococci and coagulasenegative staphylococci. The old patients had a lower operation rate (40.7% vs 58.9% vs 62.4%, P=0.012) and higher in-hospital mortality (20.3% vs 10.6% vs 8.8%, P=0.044) compared with the younger patients. Surgical treatment was a significant predictor of one-year mortality even after adjusting for the confounders (HR=2.45, 95% CI 1.027-10.598, P=0.009).The one-year survival rate was higher for older patients with surgical intervention than those without (95.8% vs 68.6%, P=0.007). Conclusions Older patients with IE presented with more comorbidities, bad oral hygiene, more nosocomial origin and a more severe prognosis than younger patients. Streptococci was the most frequent micro-organisms in this group. Surgery were underused in old patients and those with surgical treatment had better prognosis.

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Section: Surgical Therapy and Prognosis For Patients≥65 Year Old Withmentioning

confidence: 70%

Section: Patient Selection and Study Designmentioning

confidence: 99%

Section: Clinical Parameters and Definitionmentioning

confidence: 99%

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The clinical features and prognosis of infective endocarditis in the elderly from 2007-2016 in a tertiary hospital in China

Chen

Xiao

et al. 2019

Preprint

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“…Patients with a clinical diagnosis of IE from January 1, 2007 to December 31, 2016 were reviewed. The Modified Duke criteria [1] was used to evaluate patients reviewed. Patients who were admitted to the hospital more than one time for the same pathogen during the study period were considered as one case.…”

Section: Methods Patientsmentioning

confidence: 99%

“…Serious complications such as heart failure and cerebral embolism are common. In developed countries, the annual incidence is between 3 and 9 patients per 100,000 persons with a slight increase between 1970 and 2013 [1,2]. Although the improvement of prevention, the progress of antibiotic therapy, the development of imaging technology and the intervention with surgery, the mortality is still 15-30% [3].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and risk factors of infective endocarditis in a tertiary hospital in China from 2007 to 2016

Wu¹,

Chen

Xiao

et al. 2020

Preprint

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Background: To explore the trends in epidemiology and risk factors related to the prognosis of infective endocarditis in a teaching hospital over the past ten years. Methods: A retrospective cohort study was performed. A total of 407 consecutive patients were included. The clinical characteristics and risk factors related to the prognosis of infective endocarditis during this period were analyzed. Results: A total of 407 patients with infective endocarditis were included, the average age was 48 ±16 years old with an increasing trend and in-hospital mortality rate was 10.6% and one-year mortality rate was 12.2%. Among patients with underlying heart disease, congenital heart disease was the most common(25.8%), followed by rheumatic heart disease which showed a decreased trend during this period (P<0.001). There were 222(54.5%) positive blood cultures and streptococci (44.1%) was the main pathogens with an increasing trend. There were 403 patients (99%) with surgical indications, but only 234 patients (57.5%) received surgical treatment. Hemodialysis (P = 0.041, OR = 4.697, 95% CI 1.068-20.665), pulmonary hypertension (P = 0.001, OR = 5.308, 95% CI 2.034-13.852), Pitt score ≥ 4 (P <0.001, OR = 28.5, 95% CI 5.5-148.1) and vegetation length＞30mm (P = 0.011, OR = 13.754, 95% CI 1.832-103.250) were independent risk factors for in-hospital mortality. Conclusions: There was no significant change in the overall incidence of IE, the clinical features of IE have changed slightly during the past ten years. Streptococci IE was still the predominant. IE patients with hemodialysis, pulmonary hypertension, Pitt score ≥ 4 and vegetation length＞30mm had an worse in-hospital outcome.

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Recommendation for Outpatient Follow-Up After Aortic Valve Surgery

Brtko

2018

Aortic Regurgitation

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2015 ESC Guidelines for the management of infective endocarditis. Summary document prepared by the Czech Society of Cardiology

Cited by 18 publications

References 2 publications

The clinical features and prognosis of infective endocarditis in the elderly from 2007-2016 in a tertiary hospital in China

The clinical features and prognosis of infective endocarditis in the elderly from 2007-2016 in a tertiary hospital in China

Epidemiology and risk factors of infective endocarditis in a tertiary hospital in China from 2007 to 2016

Recommendation for Outpatient Follow-Up After Aortic Valve Surgery

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