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Importance of In-Hospital Prospective Registry and Infectious Endocarditis Heart Team to Monitor and Improve Quality

Guy Van Camp1, Monika Beles1, Martin Penicka1

  • 1Cardiovascular Center, OLV Aalst, Moorselbaan 164, 9300 Aalst, Belgium.

Journal of Clinical Medicine
|September 10, 2021
PubMed

Insights

Implementing prospective registries and an infectious endocarditis heart team (IEHT) approach shows promise for improving patient care. This strategy was linked to more efficient management and a trend toward reduced mortality in hospitalized patients with IE.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Health Services Research

Background:

  • Infectious endocarditis (IE) is a serious condition with significant mortality.
  • Effective management requires coordinated, multidisciplinary care.
  • Prospective data collection is crucial for monitoring and improving quality of care.

Purpose of the Study:

  • To evaluate the utility of prospective in-hospital registry data for IE patients.
  • To assess the impact of an infectious endocarditis heart team (IEHT) approach on care quality and outcomes.
  • To monitor clinical outcomes in hospitalized patients diagnosed with IE.

Main Methods:

  • A prospective registry was established for 160 hospitalized IE patients between 2014 and 2019.
  • An IEHT was introduced in 2017.
  • Propensity score matching was employed to analyze the IEHT's effect on clinical outcomes.

Main Results:

  • The study population had a median age of 72.5 years, with common comorbidities including diabetes (33.1%) and chronic kidney disease (27.5%).
  • Staphylococcus was the most frequent pathogen (37.5%). Overall 30-day and 1-year mortality rates were 19.4% and 37.5%, respectively.
  • The IEHT approach showed a trend towards reduced 1-year mortality (26.5% vs. 41.2%) and was independently associated with a shorter length of stay (p=0.04).

Conclusions:

  • Prospective IE registries combined with an IEHT approach enhance patient management efficiency.
  • This integrated strategy demonstrates potential for improving clinical outcomes and reducing mortality in IE patients.
  • Dedicated IEHTs and prospective data collection are valuable tools for advancing IE patient care.
Abstract

Keywords:
infectious endocarditisoutcomequality of care

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