Contemporary cohort study in adult patients with infective endocarditis
Background: Infective Endocarditis (IE) is a serious disease, with high morbidity and mortality. Few case series come from middle- income countries. Our aim is to describe a case series of patients with IE treated at a reference center in Brazil and compare data to other countries. Methods: A retros...
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| Language: | English |
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Elsevier
2025-05-01
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| Series: | Brazilian Journal of Infectious Diseases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1413867025000248 |
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| author | Mariana Giorgi Barroso de Carvalho Thatyane Veloso de Paula Amaral de Almeida Nicolas de Albuquerque Pereira Feijóo Rafael Quaresma Garrido Giovanna lanini Ferraiuoli Barbosa Wilma Félix Golebiovski Bruno Zappa Clara Weksler Marcelo Goulart Correia Cristiane da Cruz Lamas |
| author_facet | Mariana Giorgi Barroso de Carvalho Thatyane Veloso de Paula Amaral de Almeida Nicolas de Albuquerque Pereira Feijóo Rafael Quaresma Garrido Giovanna lanini Ferraiuoli Barbosa Wilma Félix Golebiovski Bruno Zappa Clara Weksler Marcelo Goulart Correia Cristiane da Cruz Lamas |
| author_sort | Mariana Giorgi Barroso de Carvalho |
| collection | DOAJ |
| description | Background: Infective Endocarditis (IE) is a serious disease, with high morbidity and mortality. Few case series come from middle- income countries. Our aim is to describe a case series of patients with IE treated at a reference center in Brazil and compare data to other countries. Methods: A retrospective analysis of a prospectively implemented endocarditis database was conducted, including adult patients with definite IE, January 2006‒June 2023. A literature search and summary were done. Statistical analysis was performed using Jamovi®, version 1.2.2. Results: There were 502 episodes of IE; mean age ± SD was 48.4±17.2 years. Community-acquired IE occurred in 64.7 %. Main predispositions were rheumatic valve disease (30.7 %), prostheses (31.5 %), and congenital heart disease (13.9 %). Transthoracic and transesophageal echocardiograms were performed in 85 % and 78 %, respectively. Left-sided IE predominated. Fever occurred in 90.6 %, new murmurs in 50.7 %, and embolism in 45 %. Blood cultures were negative in 33.1 %; frequent pathogens were oral streptococci (15.6 %), Staphylococcus aureus (10.0 %), and enterococci (12.8 %). Main complications were heart failure (58 %), renal failure (32.8 %), and splenic embolization (35.2 %). Surgery was performed in 83.6 %; overall in-hospital mortality was 25 %; surgical mortality was 21.3 %. Conclusions: Blood culture negative left-sided IE predominated. The mortality rate was high but within the range of reported series. Surgery was performed frequently and patients who were operated on had lower mortality. |
| format | Article |
| id | doaj-art-d0e591db053e49c9af54b2dcce66cd85 |
| institution | DOAJ |
| issn | 1413-8670 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
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| series | Brazilian Journal of Infectious Diseases |
| spelling | doaj-art-d0e591db053e49c9af54b2dcce66cd852025-08-20T03:09:42ZengElsevierBrazilian Journal of Infectious Diseases1413-86702025-05-0129310452110.1016/j.bjid.2025.104521Contemporary cohort study in adult patients with infective endocarditisMariana Giorgi Barroso de Carvalho0Thatyane Veloso de Paula Amaral de Almeida1Nicolas de Albuquerque Pereira Feijóo2Rafael Quaresma Garrido3Giovanna lanini Ferraiuoli Barbosa4Wilma Félix Golebiovski5Bruno Zappa6Clara Weksler7Marcelo Goulart Correia8Cristiane da Cruz Lamas9Universidade do Grande Rio/Afya (UNIGRANRIO/Afya), Departamento de Medicina, Rio de Janeiro, RJ, Brazil; Instituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilUniversidade do Grande Rio/Afya (UNIGRANRIO/Afya), Departamento de Medicina, Rio de Janeiro, RJ, Brazil; Instituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilUniversidade do Grande Rio/Afya (UNIGRANRIO/Afya), Departamento de Medicina, Rio de Janeiro, RJ, Brazil; Instituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilInstituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilInstituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilInstituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilInstituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilInstituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilInstituto Nacional de Cardiologia, Rio de Janeiro, RJ, BrazilInstituto Nacional de Cardiologia, Rio de Janeiro, RJ, Brazil; Instituto Nacional de Infectologia Evandro Chagas (Fiocruz), Rio de Janeiro, RJ, Brazil; Corresponding author.Background: Infective Endocarditis (IE) is a serious disease, with high morbidity and mortality. Few case series come from middle- income countries. Our aim is to describe a case series of patients with IE treated at a reference center in Brazil and compare data to other countries. Methods: A retrospective analysis of a prospectively implemented endocarditis database was conducted, including adult patients with definite IE, January 2006‒June 2023. A literature search and summary were done. Statistical analysis was performed using Jamovi®, version 1.2.2. Results: There were 502 episodes of IE; mean age ± SD was 48.4±17.2 years. Community-acquired IE occurred in 64.7 %. Main predispositions were rheumatic valve disease (30.7 %), prostheses (31.5 %), and congenital heart disease (13.9 %). Transthoracic and transesophageal echocardiograms were performed in 85 % and 78 %, respectively. Left-sided IE predominated. Fever occurred in 90.6 %, new murmurs in 50.7 %, and embolism in 45 %. Blood cultures were negative in 33.1 %; frequent pathogens were oral streptococci (15.6 %), Staphylococcus aureus (10.0 %), and enterococci (12.8 %). Main complications were heart failure (58 %), renal failure (32.8 %), and splenic embolization (35.2 %). Surgery was performed in 83.6 %; overall in-hospital mortality was 25 %; surgical mortality was 21.3 %. Conclusions: Blood culture negative left-sided IE predominated. The mortality rate was high but within the range of reported series. Surgery was performed frequently and patients who were operated on had lower mortality.http://www.sciencedirect.com/science/article/pii/S1413867025000248Infective endocarditisEpidemiologyCohort studySurgeryMortalityBrazil |
| spellingShingle | Mariana Giorgi Barroso de Carvalho Thatyane Veloso de Paula Amaral de Almeida Nicolas de Albuquerque Pereira Feijóo Rafael Quaresma Garrido Giovanna lanini Ferraiuoli Barbosa Wilma Félix Golebiovski Bruno Zappa Clara Weksler Marcelo Goulart Correia Cristiane da Cruz Lamas Contemporary cohort study in adult patients with infective endocarditis Brazilian Journal of Infectious Diseases Infective endocarditis Epidemiology Cohort study Surgery Mortality Brazil |
| title | Contemporary cohort study in adult patients with infective endocarditis |
| title_full | Contemporary cohort study in adult patients with infective endocarditis |
| title_fullStr | Contemporary cohort study in adult patients with infective endocarditis |
| title_full_unstemmed | Contemporary cohort study in adult patients with infective endocarditis |
| title_short | Contemporary cohort study in adult patients with infective endocarditis |
| title_sort | contemporary cohort study in adult patients with infective endocarditis |
| topic | Infective endocarditis Epidemiology Cohort study Surgery Mortality Brazil |
| url | http://www.sciencedirect.com/science/article/pii/S1413867025000248 |
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