Valve surgery in active infective endocarditis: A simple score to predict in-hospital prognosis

Infective endocarditis: Absence of microbiological diagnosis is an independent predictor of inhospital mortality

“…Definitions have been previously explained [24]. Modified Duke criteria were used to diagnose IE patients (see Appendix for details) [12].…”

Left-sided infective endocarditis in patients with liver cirrhosis

“…Consecutive adult patients (≥ 18 years) with IE were recruited and their data were analyzed. The national database GAMES (20) (22). The three cohorts had similar characteristics, although the patients in the most recent cohort (GAMES) were older, with more comorbidities and nosocomial acquisition.…”

“…Prognosis and perioperative mortality in patients with LC varies depending on the functional degradation of the liver measured by the Child-Pugh scale or the MELD (Model for End-Stage Liver Disease) score, that is an objective scale for predicting mortality risk in abdominal and thoracic surgery, including cardiac and aortic repair surgery (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15). The European System for Cardiac Operative Risk Evaluation (EuroScore) is generally used to estimate perioperative risk in patients undergoing cardiac surgery (16)(17)(18), including infective endocarditis (19,20). However, this scale does not consider LC a risk factor, and cardiac surgery is likely to be delayed or not performed due to the high risk that this procedure involves for these patients (encephalopathy, bleeding, ischemic hepatic damage…)…”

Application of Prediction Scores in Clinical Medicine

“…Оценка периоперационного риска в случаях сердечных опе-раций с помощью шкалы EuroScore II недооценивает госпитальную смертность при хирургии инфекцион-ного эндокардита [20]. В последнем случае предпоч-тительнее использовать другие шкалы, например, шкалу PALSUSE [21].…”