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Título
Surgery for acute infective endocarditis: epidemiological data from a Spanish nationwide hospital-based registry
Autor
Año del Documento
2018
Editorial
Oxford University Press
Descripción
Producción Científica
Documento Fuente
Interactive CardioVascular and Thoracic Surgery, 2018, vol. 27, n. 4. p. 498-504
Zusammenfassung
Objectives: Infective endocarditis (IE) is a serious and eventually lethal disease with rising incidence in the past couple of decades. The
aim of this study was to evaluate the contemporary epidemiological trends of surgical endocarditis patients, to analyse the clinical outcomes
and to study their profile, associated prognostic factors and costs.
Methods: This is a retrospective study of all patients admitted for IE in Spanish hospitals and discharged between 1 January 1997 and 31
December 2014. Data were extracted from the minimum basic data set of the National Surveillance System for Hospital Data in Spain provided
by the Spanish Ministry of Health. Hospitalizations, comorbidities, outcomes and costs were analysed.
Results: In total, 34 399 patients with IE were included; 15.7% of patients received surgical treatment and 84.3% received medical treatment
only. Surgical patients were mostly men (71.9%) and had a lower mean age (59.2 ± 16.08 years) than the medical treatment group (P < 0.0001).
Mortality among surgical patients showed a decreasing trend between 1997 (32.0%) and 2014 (22.7%) and increased with age (47.6% in
>_85 years of age). Length of hospital stay and the percentage of patients with organ dysfunction were also higher in this group. The cost of the
surgical treatment group was higher and increased since 1997 (15 259.22 euros), remaining stable from 2010 (40 700 euros)
(P < 0.0001).
Conclusions: Surgical treatment in IE has trended upwards in Spain during the last 2 decades. Patients are getting older and more frequently
experience organ dysfunction. Mortality ratio steadily declined without changes in the length of hospital stay.
Materias Unesco
3213.07 Cirugía del Corazón
Palabras Clave
Infective endocarditis
Endocarditis infecciosa
Epidemiology
Epidemiología
Mortality
Mortalidad
ISSN
1569-9285
Revisión por pares
SI
Patrocinador
Instituto de Salud Carlos III (grant PI15/ 01451)
Junta de Castilla y Leon (grants 1270/A/16 and 1255/A/16)
Junta de Castilla y Leon (grants 1270/A/16 and 1255/A/16)
Version del Editor
Propietario de los Derechos
© 2018 Oxford University Press
Idioma
eng
Tipo de versión
info:eu-repo/semantics/publishedVersion
Derechos
openAccess
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