Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público

Background Infective endocarditis (IE) is a serious disease with high mortality, especially among the most severe cases undergoing surgery. Aim To analyze the clinical features, perioperative mortality and long-term survival of patients with infective endocarditis requiring surgery. Material and...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	MERELLO,LORENZO, SALAZAR M.,RODRIGO, ELGUETA G.,FELIPE, GONZÁLEZ,DIEGO, ELTON,VICTORIA, QUIROZ,MANUEL, PEDEMONTE,ONEGLIO, ARÁNGUIZ-SANTANDER,ERNESTO
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Endocarditis, Bacterial Heart Value Prosthesis Implantation Survival Analysis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001201535
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872019001201535
record_format	dspace
spelling	oai:scielo:S0034-988720190012015352020-07-22Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital públicoMERELLO,LORENZOSALAZAR M.,RODRIGOELGUETA G.,FELIPEGONZÁLEZ,DIEGOELTON,VICTORIAQUIROZ,MANUELPEDEMONTE,ONEGLIOARÁNGUIZ-SANTANDER,ERNESTO Endocarditis, Bacterial Heart Value Prosthesis Implantation Survival Analysis Background Infective endocarditis (IE) is a serious disease with high mortality, especially among the most severe cases undergoing surgery. Aim To analyze the clinical features, perioperative mortality and long-term survival of patients with infective endocarditis requiring surgery. Material and Methods Review of medical records of patients who underwent heart valve surgery for active infective endocarditis in a public hospital between 1995 and 2008. Demographic characteristics and comorbidities were described. Perioperative and 10 year survival were analyzed retrieving death certificates from the Chilean Identification Service. Results Data from 103 patients aged 46 ± 14 years (74% males) was analyzed. Thirty five percent of patients had an underlying predisposing heart condition such as congenital heart disease in 18.5% and prosthetic valves in 10%. The most common location was the aortic valve and the most common surgical procedure was heart valve replacement with a mechanical prosthetic valve in 87% of the cases. Pathogen identification in blood cultures was achieved in 48% of the cases. The most common causative microorganisms were S. aureus in 12%, coagulase-negative Staphylococcus in 11%, S. viridans in 10% and Enterococcus in 7%. Hospital mortality was 20.4% and ten-year survival was 65%. Conclusions Patients with severe IE requiring surgical treatment still have high perioperative and late mortality.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.12 20192019-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001201535es10.4067/S0034-98872019001201535
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Endocarditis, Bacterial Heart Value Prosthesis Implantation Survival Analysis
spellingShingle	Endocarditis, Bacterial Heart Value Prosthesis Implantation Survival Analysis MERELLO,LORENZO SALAZAR M.,RODRIGO ELGUETA G.,FELIPE GONZÁLEZ,DIEGO ELTON,VICTORIA QUIROZ,MANUEL PEDEMONTE,ONEGLIO ARÁNGUIZ-SANTANDER,ERNESTO Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público
description	Background Infective endocarditis (IE) is a serious disease with high mortality, especially among the most severe cases undergoing surgery. Aim To analyze the clinical features, perioperative mortality and long-term survival of patients with infective endocarditis requiring surgery. Material and Methods Review of medical records of patients who underwent heart valve surgery for active infective endocarditis in a public hospital between 1995 and 2008. Demographic characteristics and comorbidities were described. Perioperative and 10 year survival were analyzed retrieving death certificates from the Chilean Identification Service. Results Data from 103 patients aged 46 ± 14 years (74% males) was analyzed. Thirty five percent of patients had an underlying predisposing heart condition such as congenital heart disease in 18.5% and prosthetic valves in 10%. The most common location was the aortic valve and the most common surgical procedure was heart valve replacement with a mechanical prosthetic valve in 87% of the cases. Pathogen identification in blood cultures was achieved in 48% of the cases. The most common causative microorganisms were S. aureus in 12%, coagulase-negative Staphylococcus in 11%, S. viridans in 10% and Enterococcus in 7%. Hospital mortality was 20.4% and ten-year survival was 65%. Conclusions Patients with severe IE requiring surgical treatment still have high perioperative and late mortality.
author	MERELLO,LORENZO SALAZAR M.,RODRIGO ELGUETA G.,FELIPE GONZÁLEZ,DIEGO ELTON,VICTORIA QUIROZ,MANUEL PEDEMONTE,ONEGLIO ARÁNGUIZ-SANTANDER,ERNESTO
author_facet	MERELLO,LORENZO SALAZAR M.,RODRIGO ELGUETA G.,FELIPE GONZÁLEZ,DIEGO ELTON,VICTORIA QUIROZ,MANUEL PEDEMONTE,ONEGLIO ARÁNGUIZ-SANTANDER,ERNESTO
author_sort	MERELLO,LORENZO
title	Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público
title_short	Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público
title_full	Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público
title_fullStr	Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público
title_full_unstemmed	Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público
title_sort	sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001201535
work_keys_str_mv	AT merellolorenzo sobrevidaa10anosdepacientesegresadosluegodecirugiaporendocarditisinfecciosaenunhospitalpublico AT salazarmrodrigo sobrevidaa10anosdepacientesegresadosluegodecirugiaporendocarditisinfecciosaenunhospitalpublico AT elguetagfelipe sobrevidaa10anosdepacientesegresadosluegodecirugiaporendocarditisinfecciosaenunhospitalpublico AT gonzalezdiego sobrevidaa10anosdepacientesegresadosluegodecirugiaporendocarditisinfecciosaenunhospitalpublico AT eltonvictoria sobrevidaa10anosdepacientesegresadosluegodecirugiaporendocarditisinfecciosaenunhospitalpublico AT quirozmanuel sobrevidaa10anosdepacientesegresadosluegodecirugiaporendocarditisinfecciosaenunhospitalpublico AT pedemonteoneglio sobrevidaa10anosdepacientesegresadosluegodecirugiaporendocarditisinfecciosaenunhospitalpublico AT aranguizsantanderernesto sobrevidaa10anosdepacientesegresadosluegodecirugiaporendocarditisinfecciosaenunhospitalpublico
_version_	1718437096173076480

Sobrevida a 10 años de pacientes egresados luego de cirugía por endocarditis infecciosa en un hospital público

Ejemplares similares