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 |