Infectious endocarditis in the intensive care unit

Medicina intensiva
S Miranda-MonteroR Llorens-León

Abstract

To study the characteristics, evolution and prognosis of patients with infectious endocarditis requiring treatment in the Intensive Care Unit. A prospective, observational cohort study of patients admitted due to infectious endocarditis. Nuestra Señora de Candelaria University Hospital, a third - level center with a recruitment population of 493,145. All patients consecutively diagnosed with infectious endocarditis in our center according to the Duke criteria, between 1 January 2005 and 31 July 2011. Demographic data, clinical severity scores, microbiological and echocardiographic data, hospital mortality and complications. Out of 102 patients diagnosed with endocarditis, 38 (37%) were admitted to Intensive Care. Compared with those patients not admitted to the ICU, these subjects suffered more frequent mitral valve alterations (OR= 7.13; 95%CI: 2.12-24; p= 0.002) and cerebral embolism (OR= 3.89; 95%CI: 1.06-14.3; p= 0.041). In turn, mortality was greater (42.1% vs 18.8%, p= 0.011), as was the proportion of emergency surgeries (45.8% vs 5.9%, p<0.001). The identified mortality predictors were Staphylococcus aureus infection (OR= 3.49; 95%CI 1.02-11.93; p=0.046), heart failure (OR=4.18; 95%CI: 1.17-14.94; p=0.028), cerebral embo...Continue Reading

References

Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Mar 24, 2004·Circulation·Vivian H ChuAndrew Wang
Nov 18, 2005·American Heart Journal·Christopher H CabellUNKNOWN International Collaboration on Endocarditis Merged Database (ICE-MD) Study Group Investigators
Sep 18, 2007·Chest·Imad M TleyjehLarry M Baddour
May 5, 2009·Enfermedades infecciosas y microbiología clínica·Pedro M OlaecheaUNKNOWN Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica
Oct 14, 2009·Medicina intensiva·E Alemparte-PardavilaJ R Cortés-Cañones
Jan 26, 2010·BMC Infectious Diseases·Juan Gálvez-AcebalUNKNOWN Grupo para el Estudio de las Infecciones Cardiovasculares de la Sociedad Andaluza de Enfermedades Infecciosas (SAEI)
Mar 10, 2010·Circulation·Bernard D Prendergast, Pilar Tornos
Dec 3, 2010·Medicina intensiva·F MarotoC Colon
Feb 1, 2011·Archives of Cardiovascular Diseases·François Delahaye

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Citations

May 19, 2012·Medicina intensiva·M Ruiz BailénC Navarro Ramírez

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