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203761

Mortality Predictors in Patients with Infective Endocarditis Undergoing Surgery

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Last updated: 03 Jan 2025

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Abstract

Background: Infective endocarditis (IE) is considered a series disorder with high in-hospital mortality, so early detection and therapy can improve outcomes. Diagnosis relies upon consistent history and manifestations like persistent bacteremia, fungemia or active valvulitis. Surgical treatment in infective endocarditis is considered as a part of management rather than a consequence of medical treatment failure. Objectives: To assess the risk factors influencing the early outcome of surgical intervention in patients with IE. Patients and methods: This prospective cohort study was conducted on sixty patients diagnosed with infective endocarditis and underwent cardiac surgery. We tested preoperative, intraoperative and postoperative factors that may act as prospective predictors of mortality. Results: Rheumatic heart was found to be the most common underlying fundamental issue among most of the cases. Mitral valve regurgitation was the frequent lesion found (61.7%). The mean EuroScore II in non-survivor group was 25.69 ± 8.13. The hospital mortality was 21.7% (13 patient), while the 6-month mortality was 12.8% (6 patients). Congestive heart failure, embolization, and periannular extension of infection are the most significant predictors of hospital mortality and 6 month mortality also. Conclusion: Surgery for IE keeps on being challenging. EuroScore II was found to have a very good capability to anticipate mortality in IE surgery. Also favorable outcomes could be acquired with valve repair techniques even in cases of IE.    

DOI

10.21608/ejhm.2021.203761

Keywords

Infective endocarditis, predictors, mortality, risk factors, Surgery

Authors

First Name

Tamer Eid

Last Name

Fouda

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Orcid

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First Name

Mostafa Mohammad Abdalraouf

Last Name

Yousof

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Orcid

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First Name

Mohamed Saied

Last Name

Darwish

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Abullah Osama

Last Name

Mahfouz

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Affiliation

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Orcid

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First Name

Ahmed Sobhy

Last Name

Emara

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-

Affiliation

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Email

asame7000@hotmail.com

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Orcid

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Volume

85

Article Issue

2

Related Issue

28296

Issue Date

2021-10-01

Receive Date

2021-11-08

Publish Date

2021-10-01

Page Start

3,742

Page End

3,752

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_203761.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=203761

Order

48

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Mortality Predictors in Patients with Infective Endocarditis Undergoing Surgery

Details

Type

Article

Created At

22 Jan 2023