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dc.contributor.authorRamos Martínez, Antonio
dc.contributor.authorCalderón Parra, Jorge
dc.contributor.authorMiró Meda, José Mª
dc.contributor.authorMuñoz García, Patricia
dc.contributor.authorRodríguez Abella, Hugo
dc.contributor.authorValerio Minero, Maricela
dc.contributor.authorAlarcón González, Arístides de
dc.contributor.authorLuque Márquez, Rafael
dc.contributor.authorAmbrosioni, Juan
dc.contributor.authorFariñas Álvarez, María del Carmen 
dc.contributor.authorGoenaga Sánchez, Miguel Ángel
dc.contributor.authorOteo Revuelta, José Antonio
dc.contributor.authorMartínez Marcos, Francisco Javier
dc.contributor.authorVinuesa García, David
dc.contributor.authorDomínguez, Fernando
dc.contributor.authorSpanish Collaboration on Endocarditis, Grupo de Apoyo al Manejo de la Endocarditis Infecciosa en España (GAMES)
dc.contributor.otherUniversidad de Cantabriaes_ES
dc.date.accessioned2019-06-13T18:30:45Z
dc.date.issued2019-05-01
dc.identifier.issn0167-5273
dc.identifier.issn1874-1754
dc.identifier.urihttp://hdl.handle.net/10902/16347
dc.description.abstractAIM: To evaluate the effect of the type of surgical indication on mortality in infective endocarditis (IE) patients who are rejected for surgery. METHODS AND RESULTS: From January 2008 to December 2016, 2714 patients with definite left-sided IE were attended in the participating hospitals. One thousand six hundred and fifty-three patients (60.9%) presented surgical indications. Five hundred and thirty-eight patients (32.5%) presented surgical indications but received medical treatment alone. The indications for surgery in these patients were uncontrolled infection (366 patients, 68%), heart failure (168 patients, 31.3%) and prevention of embolism (148 patients, 27.6%). One hundred and thirty patients (24.2%) presented more than one indication. The mortality during hospital admission was 60% (323 patients). The in-hospital mortality of patients whose indication for surgery was heart failure, uncontrolled infection or risk of embolism was 75.6%, 61.4% and 54.7%, respectively (p?<?0.001). Surgical indications due to heart failure (OR: 3.24; CI 95%: 1.99-5.9) or uncontrolled infection (OR: 1.83; CI 95%: 1.04-3.18) were independently associated with a fatal outcome during hospital admission. Mortality during the first year was 75.4%. The mortality during the first year in patients whose indication for surgery was heart failure, uncontrolled infection or risk of embolism was 85.9%, 76.7% and 72.7%, respectively (p?=?0.016). Surgical indication due to heart failure (OR: 3.03; CI 95%: 1.53-5.98) were independently associated with fatal outcome during the first year. CONCLUSIONS: The type of surgical indication is associated with mortality in IE patients who are rejected for surgical intervention.es_ES
dc.format.extent7 p.es_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.rights© 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 licensees_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceInt J Cardiol. 2019 May 1;282:24-30es_ES
dc.subject.otherBacteremiaes_ES
dc.subject.otherEmbolismes_ES
dc.subject.otherEndocarditises_ES
dc.subject.otherHeart Failurees_ES
dc.subject.otherMortalityes_ES
dc.titleEffect of the type of surgical indication on mortality in patients with infective endocarditis who are rejected for surgical interventiones_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherVersionhttps://doi.org/10.1016/j.ijcard.2019.01.014es_ES
dc.rights.accessRightsembargoedAccesses_ES
dc.identifier.DOI10.1016/j.ijcard.2019.01.014
dc.type.versionacceptedVersiones_ES
dc.date.embargoEndDate2020-05-01


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© 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 licenseExcept where otherwise noted, this item's license is described as © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license