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Predictors of mortality in patients with prosthetic valve infective endocarditis: a nation-wide multicenter study
Mehmet Ali Elbey1, Mehmet Emin Kalkan, Serkan Akdag
1Dicle University School of Medicine, Depar tment of Cardiology. Diyarbakir, Turkey. elbeymali@hotmail.com.
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.
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