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Published on: February 11, 2022
Surgical treatment of left-sided infective endocarditis with symptomatic neurological complications before surgery in
Jing-Bin Huang1, Chang-Chao Lu1, Zhao-Ke Wen1
1Department of Cardiothoracic Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.
Introduction:
We aimed to investigate surgical treatment of left-sided infective endocarditis with symptomatic neurological complications before surgery.
Methods:
This was a retrospective study of patients with left-sided infective endocarditis and symptomatic neurological complications before surgery undergoing cardiac surgery between January 2006 and November 2022 at our hospital.
Results:
Eight hundred thirty-two patients were divided into group with symptomatic neurological complications before surgery (n = 112) and without symptomatic neurological complications before surgery (n = 720). There were 48 operative deaths (5.4%). Univariate and multivariate analyses showed that symptomatic neurological complications before surgery is statistically significantly associated with in-hospital mortality following cardiac surgery and prolonged intubation time.
Conclusions:
Our study showed that symptomatic neurological complications before surgery are associated with increased in-hospital mortality following cardiac surgery and prolonged intubation time.
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