Impact of Malnutrition in Patients With Infective Endocarditis

Harris, Ché Matthew; Albaeni, Aiham; Norris, Keith C.

doi:10.1002/ncp.10557

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Malnutrition was found in most cases which could be one of the prognostic factors for patient with IE. Morbidity and longer hospitalization were associated with the malnourished patient as they tend to have a complication such as heart failure, sepsis, and coagulopathy as seen in our patients [15]. Echocardiography could give benefit to reduce mortality in children with IE, allowing early detection of IE, prompt management, and monitoring [16].…”

Section: Discussionmentioning

confidence: 67%

Unique Clinical Manifestation of Infective Endocarditis in Children: A Case Series

Rahayuningsih¹,

Kuswiyanto

Apandi

et al. 2023

Open Access Maced J Med Sci

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BACKGROUND: Infective endocarditis (IE) was a significant cause of morbidity and mortality, particularly in children with congenital heart disease (CHD). Infective endocarditis could occur in all ages with higher in children below 1-year-old, including neonates. Various clinical manifestations of IE in children make it difficult to make a prompt diagnosis and appropriate management. Finding in echocardiography could help clinicians determine the diagnosis of IE. Systemic embolization could cause many complications that may present as chief complaint underlying patient hospitalization. CASE PRESENTATION: We present case series of diverse manifestation of IE in children in Bandung, West Java, Indonesia. Two cases had a history of structural heart disease, while one case with no history of any structural heart disease before. CONCLUSION: Wide range of symptoms that could occur in children with IE, made it challenging to make a proper diagnosis.

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Section: Discussionmentioning

confidence: 67%

Unique Clinical Manifestation of Infective Endocarditis in Children: A Case Series

Rahayuningsih¹,

Kuswiyanto

Apandi

et al. 2023

Open Access Maced J Med Sci

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“…Nutrition: Malnutrition is a poor prognostic factor that leads to increased morbidity, the prolonged length of hospital stays, and poorer surgical outcomes [ 87 ]. The negative impact of malnutrition on immunity translates into a greater occurrence of complications such as embolisms, heart failure, or sepsis.…”

Section: Treatmentmentioning

confidence: 99%

Pediatric Infective Endocarditis: A Literature Review

Vicent

Luna

Sellés

2022

JCM

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Infective endocarditis in children is a rare entity that poses multiple challenges. A history of congenital heart disease is the most common risk factor, although in recent years, other emerging predisposing conditions have gained relevance, such as central venous catheters carriers or children with chronic debilitating conditions; cases in previously healthy children with no medical history are also seen. Diagnosis is complex, although it has improved with the use of multimodal imaging techniques. Antibiotic treatment should be started early, according to causative microorganism and risk factors. Complications are frequent and continue to cause significant morbidity. Most studies have been conducted in adults and have been generalized to the pediatric population, with subsequent limitations. Our manuscript presents a comprehensive review of pediatric infective endocarditis, including recent advances in diagnosis and management.

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Treating the disease and meeting the person with the illness-patient perspectives of needs during infective endocarditis, a qualitative study

Lindberg,

Vaktnäs,

Rasmussen

et al. 2024

PLoS ONE

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Background Infective endocarditis (IE) is a rare but severe infectious disease. Patients with IE are treated for weeks in the hospital and have profound impairments to their health. New treatment modalities increase options for outpatient care. Little is known about how patients perceive their disease and hospitalisation. We aimed to explore the needs of patients with IE during hospitalisation and the first few months after discharge. Methods In this qualitative study, 20 patients (45–86 years of age) hospitalised due to IE in Swedish hospitals were interviewed a median of 112 (67–221) days after hospitalisation. Data were analysed with qualitative content analysis, identifying eight subcategories, two categories, and an overall theme. Results The overall theme illuminated a spectrum of needs of patients suffering from IE, between treating the disease and meeting the person with the illness. The needs encompassed eight axes with dual focus on both medical excellence and person-centred care. Medical excellence was needed to optimally treat, supervise, and offer follow-up on this rare and severe disease; patients longed to come home, and there were issues of reliability in the healthcare system. Person-centred care was requested, including individualised information leading to knowledge, reorientation, the beginning of health restoration, and being met as a unique person. Symptoms of fatigue, wasting, and cognitive and mental distress were often neglected by the caregiver. Conclusions This explorative study shows the patient’s needs as important areas in a spectrum between medical excellence and person-centred care. Care in specialised units secure quality. Early discharge is requested by patients. Multiprofessional individualizing outpatient care needs to develop with preserved safety and medical excellence. The disease trajectory after discharge progresses slowly, and the possibility of mitigating its progress is still unclear. Person-centred care, screening for delayed restoration and rehabilitation after endocarditis are important fields for future studies.

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Impact of Malnutrition in Patients With Infective Endocarditis

Cited by 3 publications

References 25 publications

Unique Clinical Manifestation of Infective Endocarditis in Children: A Case Series

Unique Clinical Manifestation of Infective Endocarditis in Children: A Case Series

Pediatric Infective Endocarditis: A Literature Review

Treating the disease and meeting the person with the illness-patient perspectives of needs during infective endocarditis, a qualitative study

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