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Table 2 Treatment and outcome of valve IE patients

From: The impact of implementing an endocarditis team in comparison to the classic heart team in a tertiary referral centre

 

All IE patients n = 90 (%)

Before ET patients n = 45 (%)

After ET patients n = 45 (%)

P value before ET patients versus after ET patients

Cardiac surgery performed

63 (70)

31 (69)

32 (71)

0.82

Indication for surgery

    

 Heart failure

25 (40)

12 (39)

13 (41)

0.88

 Uncontrolled infection

22 (35)

11 (36)

11 (34)

0.93

 Prevention of embolic event

14 (22)

7 (23)

7 (22)

0.95

 Other

2 (3)

1 (3)

1 (3)

0.98

Type of surgery performed

    

 AVR

26 (41)

11 (36)

15 (47)

0.36

 MVR

13 (21)

7 (23)

6 (19)

0.71

 AVR and MVR

4 (6)

2 (7)

2 (6)

0.97

 Bentall / biological composite graft

15 (24)

10 (32)

5 (16)

0.12

 Other

5 (8)

1 (3)

4 (9)

0.17

Timing of surgery

    

Indication

    

  Emergent

0

0

0

 Urgent

56 (89)

28 (90)

28 (88)

0.72

 Urgent/elective

1 (2)

0

1 (3)

0.32

 Elective

6 (10)

3 (10)

3 (9)

0.97

Urgent surgery

    

Time from urgent indication to surgery, days

5 (2–8)

4 (2–8)

6 (2–8)

0.82

Surgery within 24 h after indication

9 (16)

4 (14)

5 (18)

0.72

Surgery within 1 to 3 days after indication

11 (20)

6 (21)

5 (18)

0.74

Surgery within 4 to 7 days after indication

19 (40)

10 (36)

9 (32)

0.59

Surgery 7 or more days after indication

17 (30)

8 (29)

9 (32)

0.77

In hospital complications

54 (60)

24 (53)

30 (67)

0.20

Embolic event

28 (31)

12 (27)

16 (36)

0.81

Acute heart failure

14 (16)

5 (11)

9 (20)

0.45

Cardiac shock

4 (4)

1 (2)

3 (7)

0.42

Intracranial hemorrhage

5 (6)

0

5 (11)

0.04

Renal failure

21 (23)

12 (27)

9 (20)

0.13

Deceased during hospitalization

5 (6)

2 (4)

3 (7)

0.65

Follow-up

    

Readmission after initial discharge

17 (19)

7 (16)

10 (22)

0.42

Relapse or re-infection

5 (6)

2 (4)

3 (7)

0.65

Thoracic surgery after initial discharge

8 (9)

4 (9)

4 (9)

1.0

Deceased within 6 months after diagnosis

11 (12)

5 (11)

6 (13)

0.75

Discharge

    

Duration of hospital admission (days)

17 (11–34)

17 (10–34)

19 (11–34)

0.97

  1. Values are in median and interquartile range, or n (%)
  2. AVR, aortic valve replacement; MVR, mitral valve replacement
  3. aPatients who underwent cardiac surgery without valve replacement, e.g. drainage of cardiac abscess or valve repair