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Demographical data and outcomes of surgically treated patients with the diagnosis of infective endocarditis a multi center retrospective study     
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