感染性内心炎的延迟诊断-内心炎网络的分析
Shekhar Saha1, Benjamin Zauner1, Rainer Kaiser2,3
1Department of Cardiac Surgery, Ludwig Maximillian University of Munich, 80539 Munich, Germany.
Journal of clinical medicine
|February 13, 2026
概括
感染性内心炎 (IE) 的延迟诊断显著增加了住院死亡率. 早期诊断IE对于改善患者的治疗结果和生存率至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 感染性内心炎 (IE) 诊断带来了重大的临床挑战.
- 了解诊断延迟对IE患者结果的影响至关重要.
研究的目的:
- 调查内心炎网络并分析延迟IE诊断的后果.
- 确定影响IE诊断时间的因素及其与死亡率的关联.
主要方法:
- 在2012年1月至2021年12月期间接受IE治疗的812名患者的回顾性审查.
- 诊断证实使用ESC/EACTS指南.
- 患者分为早期诊断 (ED, ≤7天) 和晚期诊断 (LD, >7天) 组.
主要成果:
- 共有707名患者有可用的诊断时间记录.
- 在LD集团,EuroSCORE II和EndoSCORE的表现明显更高.
- 延迟诊断独立地与增加的住院死亡率,更长的ICU和住院时间以及较差的1年和5年生存率有关.
结论:
- 脑膜炎的诊断受到各种因素的影响,诊断延迟具有重大风险.
- 感染性内心炎的延迟诊断独立地与更高的住院死亡率有关.
- 早期诊断IE与改善患者的治疗结果和生存率有关.
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