八旬期患者感染性内心炎 - - 多中心分析†
Shekhar Saha1, Carolyn Weber2, Mateo Marin-Cuartas3
1Department of Cardiac Surgery, Ludwig Maximillian University of Munich, Munich, Germany.
概括
八十岁的感染性内心炎 (IE) 具有独特的高手术风险和独特的微生物特征. 尽管死亡率增加,但仅仅是晚年并不妨碍老年人接受IE手术.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 传染性内心炎 (IE) 在老年人群中表现出独特的临床表现.
- 了解这些差异对于有效管理至关重要.
研究的目的:
- 调查IE的临床表现,微生物学概况和结果,特别是在八重生动物中.
- 将这些因素与年轻人队列进行比较.
主要方法:
- 4917名连续IE患者的多中心回顾分析.
- 对292名因IE而接受手术的八十岁患者进行了集中分析.
- 主要结局:30天死亡率和5年生存率.
主要成果:
- 八代人 (5.9%) 的EuroSCORE II中位数,假内心炎和心脏起器内心炎均高.
- 链球菌感染在八岁以上的患者中更频繁;血液培养负的IE在年轻患者中更高.
- 八十岁的30天死亡率明显高 (P<0.001),1年和5年生存率分别为48%和39%.
结论:
- 老年人中的IE具有不同的临床特征,并且与更高的风险有关.
- 晚年影响IE手术的结果,但不应该是手术干预的唯一禁忌.
相关概念视频
Pharmacodynamics in Geriatric Patients: Effects of Age
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
Endocarditis I: Introduction
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Endocarditis III: Medical Management
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Endocarditis IV: Nursing Management
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...


