Demographical data and outcomes of surgically treated patients with the diagnosis of infective endocarditis a multi center retrospective study
Yazarlar (13)
Prof. Dr. Mustafa Oylumlu Dicle University, Faculty Of Medicine, Türkiye
Mehmet Ali Elbey Dicle University, Faculty Of Medicine, Türkiye
Emin Kalkan
Serkan Akdag Van Yüzüncü Yıl Üniversitesi, Türkiye
Kerem Ozbek Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Nihan Kahya Eren Izmir Atatürk Training And Research Hospital, Türkiye
Selim Topcu Ataturk University, Faculty Of Medicine, Türkiye
Fatih Kahraman Süleyman Demirel University, Faculty Of Medicine, Türkiye
Mahmut Akpek Erciyes University, Faculty Of Medicine, Türkiye
Sinan Demirtas Kalp ve Damar Cerrahisi Anabilim Dali, Türkiye
Prof. Dr. Abdulkadir YILDIZ Dicle University, Faculty Of Medicine, Türkiye
Mesut Aydin Dicle University, Faculty Of Medicine, Türkiye
Doç. Dr. Murat Yuksel Dicle University, Faculty Of Medicine, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Turkish Journal of Thoracic and Cardiovascular Surgery
Dergi ISSN 1301-5680 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 01-2014
Cilt / Sayı / Sayfa 22 / 1 / 56–62 DOI 10.5606/tgkdc.dergisi.2014.8386
Makale Linki http://tgkdc.dergisi.org/text.php3?id=1962
Özet
Background: This study aims to investigate the demographic and clinical characteristics and echocardiographic and microbiological findings of the patients as well as the outcomes of surgery undergoing surgical treatment with the diagnosis of infective endocarditis in Turkey. Methods: B etween J anuary 2 005 a nd A ugust 2 012 1 16 p atients ( 65 males, 51 females; mean age 43±16 years; range 14 to 80 years) with the diagnosis of infective endocarditis who underwent surgery in 13 tertiary university/research and education hospitals were included in this multi-center study. Demographic and clinical characteristics of the patients, and echocardiographic and microbiological findings, surgical indications and outcomes of surgery were retrospectively analyzed. Results: The most common symptom on admission and physical finding was fever. Blood cultures were negative in 35 patients (30%). Staphylococci were the most common microbiological pathogens (22%). Congestive heart failure was the most common indication for surgery in 56 patients (48%). Valve repair was performed in 12 patients (10%), valve replacement was the procedure of choice in 104 patients (90%). Thirty-three patients undergoing surgical treatment died in the postoperative period. The mortality rate was 28%. Independent predictors of surgical mortality were Class 3-4 functional capacity, elevated C-reactive protein, and renal dysfunction. Conclusion: Although complicated cases of infective endocarditis can be treated through surgery, surgical morbidity and mortality is still high.
Anahtar Kelimeler
Epidemiology | Infective endocarditis | Surgical treatment