Simple Scoring System to Predict In‐Hospital Mortality After Surgery for Infective Endocarditis
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Published:2017-07
Issue:7
Volume:6
Page:
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ISSN:2047-9980
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Container-title:Journal of the American Heart Association
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language:en
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Short-container-title:JAHA
Author:
Gatti Giuseppe1, Perrotti Andrea2, Obadia Jean‐François3, Duval Xavier45, Iung Bernard67, Alla François8, Chirouze Catherine9, Selton‐Suty Christine10, Hoen Bruno11, Sinagra Gianfranco1, Delahaye François3, Tattevin Pierre12, Le Moing Vincent1213, Pappalardo Aniello1, Chocron Sidney2, Duval X., Alla F., Bouvet A., Briancon S., Cambau E., Celard M., Chirouze C., Danchin N., Doco‐ Lecompte T., Delahaye F., Etienne J., Iung B., Le Moing V., Obadia J. F., Leport C., Poyart C., Revest M., Selton‐Suty C., Strady C., Tattevin P., Vandenesch F., Bernard Y., Chocron S., Chirouze C., Hoen B., Plesiat P., Abouliatim I., De Place C., Tattevin P., Revest M., Donnio P. Y., Alla F., Carteaux J. P., Doco‐Lecompte T., Lion C., Aissa N., Selton‐Suty C., Baehrel B., Jaussaud R., Nazeyrollas P., Strady C., Vernet V., Cambau E., Duval X., Iung B., Nataf P., Chidiac C., Celard M., Delahaye F., Obadia J. F., Vandenesch F., Aumaître H., Frappier J. M., Le Moing V., Oziol E., Sotto A., Sportouch C., Poyart C., Bouvet A., Vandenesch F., Celard M., Bes M., Abrial E., Acar C., Aissa N., Alexandra J. F., Amireche N., Amrein D., Andre P., Appriou M., Arnould M. A., Assayag P., Atoui A., Aziza F., Baille N., Bajolle N., Battistella P., Baumard S., Ben Ali A., Bertrand J., Bialek S., Bois Grosse M., Boixados M., Borlot F., Bouchachi A., Bouche O., Bouchemal S., Bourdon J. L., Bouvet A., Brasme L., Bricaire F., Brochet E., Bruntz J. F., Cady A., Cailhol J., Caplan M. P., Carette B., Carteaux J. P., Cartry O., Cazorla C., Celard M., Chamagne H., Champagne H., Chanques G., Chastre J., Chevalier B., Chirouze C., Chocron S., Chometon F., Christophe C., Cohen A., Colin de Verdiere N., Danchin N., Daneluzzi V., David L., De Lentdecker P, Delahaye F., Delcey V., Deleuze P., Donal E., Duval X., Deroure B., Descotes‐Genon V., Didier Petit K., Dinh A., Doat V., Duchene F., Duhoux F., Dupont M., Ederhy S., Epaulard O., Evest M., Faucher J. F., Fantin B., Fauveau E., Ferry T., Fillod M., Floch T., Fraisse T., Frapier J. M., Freysz L., Fumery B., Gachot B., Gallien S., Gandjbach I., Garcon P., Gaubert A., Genoud J. L., Ghiglione S., Godreuil C., Grentzinger A., Groben L., Gherissi D., Guéret P., Hagege A., Hammoudi N., Heliot F., Henry P., Herson S., Hoen B., Houriez P., Hustache‐Mathieu L., Huttin O., Imbert S., Iung B., Jaureguiberry S., Kaaki M., Konate A., Kuhn J. M., Kural Menasche S., Lafitte A., Lafon B., Lanternier F., Le Chenault V., Le Moing V., Lechiche C., Lefèvre‐Thibaut S., Lefort A., Leguerrier A., Lemoine J., Lepage L., Leport C., Lepouse ́ C., Leroy J., Lesprit P., Letranchant L., Loisance D., Loncar G., Lorentz C., Mabo P., Magnin‐Poull I., May T., Makinson A., Man H., Mansouri M., Marxcon O., Maroni J. P., Masse V., Maurier F., Meyohas M. C., Michel P. L., Michelet C., Mechaï F., Merceron O., Messika‐Zeitoun D., Metref Z., Meyssonnier V., Mezher C., Micheli S., Monsigny M., Mouly S., Mourvillier B., Nallet O., Nataf P., Nazeyrollas P., Noel V., Obadia J. F., Oziol E., Papo T., Payet B., Pelletier A., Perez P., Petit J. S., Philippart F., Piet E., Plainvert C., Popovic B., Porte J. M., Pradier P., Ramadan R., Revest M., Richemond J., Rodermann M., Roncato M., Roigt I., Ruyer O., Saada M., Schwartz J., Selton‐Suty C., Simon M., Simorre B., Skalli S., Spatz F., Strady C., Sudrial J., Tartiere L., Terrier De La Chaise A., Thiercelin M. C., Thomas D., Thomas M., Toko L., Tournoux F., Tristan A., Trouillet J. L., Tual L., Vahanian A., Verdier F., Vernet Garnier V., Vidal V., Weyne P., Wolff M., Wynckel A., Zannad N., Zinzius P. Y.,
Affiliation:
1. Cardiovascular Department, University Hospital of Trieste, Italy 2. Department of Thoracic and Cardiovascular Surgery, EA3920, University Hospital Jean Minjoz, Besançon, France 3. Cardiology Hospital Louis Pradel, Hospices Civils, Lyon, France 4. IAME, Inserm UMR 1137, University Paris Diderot Sorbonne Paris Cité, Paris, France 5. Inserm Clinical Investigation Center 1425, Paris, France 6. Department of Cardiology, AP‐HP, Bichat Hospital, Paris, France 7. DHU Fire, Paris, France 8. EA 4003, University of Nancy, France 9. Department of Infective and Tropical Diseases, University Hospital Jean Minjoz, Besançon, France 10. Department of Cardiology, University Hospital of Nancy, France 11. Department of Infective and Tropical Diseases, University Hospital of Pointe à Pitre, France 12. Department of Infective and Tropical Diseases, University Regional Hospital, Rennes, France 13. UMI 233, Institute of Development Research, University of Montpellier, France
Abstract
Background
Aspecific scoring systems are used to predict the risk of death postsurgery in patients with infective endocarditis (
IE
). The purpose of the present study was both to analyze the risk factors for in‐hospital death, which complicates surgery for
IE
, and to create a mortality risk score based on the results of this analysis.
Methods and Results
Outcomes of 361 consecutive patients (mean age, 59.1±15.4 years) who had undergone surgery for
IE
in 8 European centers of cardiac surgery were recorded prospectively, and a risk factor analysis (multivariable logistic regression) for in‐hospital death was performed. The discriminatory power of a new predictive scoring system was assessed with the receiver operating characteristic curve analysis. Score validation procedures were carried out. Fifty‐six (15.5%) patients died postsurgery. BMI >27 kg/m
2
(odds ratio [
OR
], 1.79;
P
=0.049), estimated glomerular filtration rate <50 mL/min (
OR
, 3.52;
P
<0.0001), New York Heart Association class
IV
(
OR
, 2.11;
P
=0.024), systolic pulmonary artery pressure >55 mm Hg (
OR
, 1.78;
P
=0.032), and critical state (
OR
, 2.37;
P
=0.017) were independent predictors of in‐hospital death. A scoring system was devised to predict in‐hospital death postsurgery for
IE
(area under the receiver operating characteristic curve, 0.780; 95% CI, 0.734–0.822). The score performed better than 5 of 6 scoring systems for in‐hospital death after cardiac surgery that were considered.
Conclusions
A simple scoring system based on risk factors for in‐hospital death was specifically created to predict mortality risk postsurgery in patients with
IE
.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Cardiology and Cardiovascular Medicine
Cited by
55 articles.
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