Predictors of mortality in patients with prosthetic valve infective endocarditis: a nation-wide multicenter study

Cardiol J. 2013;20(3):323-8. doi: 10.5603/CJ.2013.0079.

Abstract

Background: Our aim was to investigate the clinical and prognostic features of the patients with prosthetic valve endocarditis (PVE) in a multicenter nation-wide study.

Methods: The present nation-wide study consisted of 75 consecutive patients with PVE treated at 13 major hospitals in Turkey from 2005 to 2012.

Results: The patients who died during follow-up were significantly older than the survivors and had higher C-reactive protein (CRP), creatinine, poor NYHA functional class and large vegetations. High creatinine level (odds ratio [OR] 2.6, 95% confidence interval [CI] 1.14-6.13), poor functional status (OR 24.5; 95% CI 3.1-196.5) and high CRP (OR 1.02; 95% CI1.00-1.03) measured on admission were independent risk associates for in-hospital mortality.

Conclusions: High creatinine level, poor functional status and high CRP measured on admission were independent risk associates for in-hospital mortality, whereas a NYHA class ofIII/IV and high CRP reflected independent risk for stroke/mortality end point.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • C-Reactive Protein / analysis
  • Chi-Square Distribution
  • Creatinine / blood
  • Endocarditis / blood
  • Endocarditis / diagnosis
  • Endocarditis / mortality*
  • Female
  • Health Status
  • Heart Valve Prosthesis / adverse effects*
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / instrumentation
  • Hospital Mortality
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Odds Ratio
  • Prognosis
  • Prosthesis-Related Infections / blood
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / mortality*
  • Risk Factors
  • Stroke / mortality
  • Time Factors
  • Turkey / epidemiology
  • Young Adult

Substances

  • Biomarkers
  • C-Reactive Protein
  • Creatinine