| Yazarlar |
Mustafa Oylumlu
|
|
Mehmet Ali Elbey
|
|
Emin Kalkan
|
|
Serkan Akdag
|
|
Kerem Ozbek
|
|
Nihan Kahya Eren
|
|
Selim Topcu
|
|
Fatih Kahraman
|
|
Mahmut Akpek
|
|
Sinan Demirtas
|
Prof. Dr. Abdulkadir YILDIZ
Kastamonu Üniversitesi |
|
Mesut Aydin
|
|
Murat Yuksel
|
| 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 |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY |
| Dergi ISSN | 1301-5680 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Makale Dili | İngilizce |
| Basım Tarihi | 01-2014 |
| Cilt No | 22 |
| Sayı | 1 |
| Sayfalar | 56 / 62 |
| Doi Numarası | 10.5606/tgkdc.dergisi.2014.8386 |
| Makale Linki | http://tgkdc.dergisi.org/text.php3?id=1962 |
| Atıf Sayıları | |
| WoS | 2 |
| SCOPUS | 2 |
