[Prognosis of infectious endocarditis]. / Pronostic de l'endocardite infectieuse.
Tunis Med
; 80(12): 739-50, 2002 Dec.
Article
em Fr
| MEDLINE
| ID: mdl-12664500
ABSTRACT
OBJECTIVE:
To study clinical course and prognostic factors of infective endocarditis. PATIENT ANDMETHODS:
Infective endocarditis was identified in 126 consecutive patients (criteria of DURACK). Of these, 73 were male, mean age was 29.9 + 15 years, 98 (77.7%) had past history of cardiac disease. The evolution has been marked by 38 deaths (30%) in spite of the recourse to surgery (69 patients). The mean follow-up period was 52 months, the event-free survival was 61% at 5 years.RESULTS:
By univariate analysis the predictors of bad prognosis Large vegetations > 10 mm, delay of apyrexia > 10 days presence of a neurological accident and the absence of surgical treatment. Multivariateanalysis:
Vegetation > 10 mm (OR 1.97, 1-4.1, p = 0.05), presence of a neurological accident (OR2.76, 1.32-5.76, p = 0.007) and the absence of surgical treatment (OR 5.03, 2-11.4, p < 0.001).CONCLUSION:
Infective endocarditis remains a serious affection, identification of patients with poor prognosis should lead to early surgical referral this attitude provides good immediate and long-term results.
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Base de dados:
MEDLINE
Assunto principal:
Endocardite Bacteriana
Idioma:
Fr
Ano de publicação:
2002
Tipo de documento:
Article