The Clinical Impact of Implementation of a Multidisciplinary Endocarditis Team

El‐Dalati, Sami; Cronin, Daniel; Riddell, James; Shea, Michael J.; Weinberg, Richard L.; Washer, Laraine; Stoneman, Emily; Perry, D. Alexander; Bradley, Suzanne F.; Burke, James F.; Murali, Sadhana; Fagan, Christopher; Chanderraj, Rishi; Christine, Paul J.; Patel, Twisha S; Ressler, Kirra; Fukuhara, Shinichi; Romano, Matthew A.; Yang, Bo; Deeb, G. Michael

doi:10.1016/j.athoracsur.2021.02.027

Cited by 37 publications

(33 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This change led to a substantial impact on the management (diagnosis, treatment, communication, mortality) of all endocarditis patients as evidenced by a significant decrease in in-hospital mortality from 29.4% to 7.1% between 2014 and 2019 at the University of Michigan, although patients in hospice were not included. 20 , 21 Furthermore, Chirillo and colleagues 22 reported a 2-fold decrease in in-hospital mortality after implementation of their multidisciplinary protocol.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a standardized multidisciplinary approach may also be beneficial. 20 , 24 , 26 As such, guidelines highlighting surgical management in IV drug users for first-time and recurrent disease, including recommendations for substance use interventions and multidisciplinary team-based care, should continue to be developed ( Video 1 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Poor long-term outcomes of intravenous drug users with infectious endocarditis

et al. 2022

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Poor long-term outcomes of intravenous drug users with infectious endocarditis

et al. 2022

Self Cite

View full text Add to dashboard Cite

“…Collection of a broad range of demographic, clinical, microbiologic, echocardiographic, and outcome-related variables will help the team understand how it is affecting patient care and creates substantial research opportunities. 4 Although dedicated funding to support an endocarditis team may not be initially available, if the group can demonstrate decreases in mortality, length of stay, readmissions, or antibiotic usage then they can petition their hospital for financial support as a cost-saving measure. Assessment of clinicians’ perceptions of the endocarditis team can also help guide future team decisions.…”

Section: Phase Ix: Maintaining a Database/applying For Fundingmentioning

confidence: 99%

“…In this piece, the authors will discuss the step-by-step approach they took to creating a successful multidisciplinary endocarditis team at the University of Michigan (Figure 1). 4…”

Section: Introductionmentioning

confidence: 99%

A step-by-step guide to implementing a multidisciplinary endocarditis team

El‐Dalati

Cronin

Riddell

et al. 2021

Therapeutic Advances in Infection

Self Cite

View full text Add to dashboard Cite

Over the last several years multiple studies, primarily from European centers have demonstrated the clinical and outcomes benefits of multidisciplinary endocarditis teams. Despite this literature, adoption of this approach to patient care has been slower in the United States. While there is literature outlining the optimal composition of an endocarditis team, there is little information to guide providers as they attempt to transform practice from a fragmented, disjointed process to an efficient, collaborative care model. In this review, the authors will outline the steps they took to create and implement a successful multidisciplinary endocarditis team at the University of Michigan. In conjunction with existing data, this piece can be used as a resource for clinicians seeking to improve the care of patients with endocarditis at their institutions.

show abstract

“…Multidisciplinary endocarditis teams for management of infective endocarditis have been shown to reduce in-hospital and 1-year mortality. 8 , 9 However, the impact of this approach on the pregnant/peripartum population has not been previously studied. We present a 1-year single-center experience managing IE in pregnancy utilizing a multidisciplinary endocarditis team.…”

Section: Introductionmentioning

confidence: 99%

Management of infective endocarditis in pregnancy by a multidisciplinary team: a case series

Shapero

Nauriyal

Megli

et al. 2022

Therapeutic Advances in Infection

Self Cite

View full text Add to dashboard Cite

Introduction: The incidence of infective endocarditis (IE) in pregnancy is rare and has been increasing during the opioid epidemic. IE in pregnancy is associated with high rates of maternal and fetal morbidity and mortality. Multidisciplinary endocarditis teams for management of IE have been shown to reduce in-hospital and 1-year mortality. We present a single-center experience managing IE in pregnancy utilizing a multidisciplinary endocarditis team. Methods: Patients diagnosed with IE while pregnant or within 30 days post-partum were identified. All patients discussed at the institution’s weekly multidisciplinary endocarditis meeting were included. Demographic and clinical data and outcome-related variables were retrospectively reviewed and recorded. Results: Between 1 October 2020 and 1 June 2021 6 pregnant or 30-day post-partum patients with IE were identified. All patients had co-morbid injection drug use; Staphylococcus aureus was the etiologic pathogen in all patients. All patients had embolic complications and 5 required ICU admission and mechanical ventilatory support. Four patients underwent valve replacement. There were no patient-directed discharges. All patients survived to hospital discharge and 90-days after diagnosis. Four pregnancies resulted in delivery at an average gestational age of 32.4 weeks with 3 requiring NICU admissions and prolonged lengths of stay. All patients were seen by addiction medicine and 5 were started on medication-assisted treatment for opioid use disorder. Discussion: In a small retrospective cases series, coordination of care by a multidisciplinary endocarditis team led to a high-rate of surgical intervention with no patient-directed discharges and no in-hospital or 90-day mortality. Conclusion: Multidisciplinary endocarditis teams are a low-risk intervention that may improve outcomes in pregnant patients with IE.

show abstract

The Clinical Impact of Implementation of a Multidisciplinary Endocarditis Team

Cited by 37 publications

References 23 publications

Poor long-term outcomes of intravenous drug users with infectious endocarditis

Poor long-term outcomes of intravenous drug users with infectious endocarditis

A step-by-step guide to implementing a multidisciplinary endocarditis team

Management of infective endocarditis in pregnancy by a multidisciplinary team: a case series

Contact Info

Product

Resources

About