Association between transcatheter aortic valve replacement and subsequent infective endocarditis and in-hospital death
JAMA
; 316(10): 1083-1092, 2016.
Article
em En
| SES-SP, SESSP-IDPCPROD, SES-SP
| ID: biblio-1064090
Biblioteca responsável:
BR79.1
Localização: BR79.1
ABSTRACT
IMPORTANCE Limited data exist on clinical characteristics and outcomes of patients who had infective endocarditis after undergoing transcatheter aortic valve replacement (TAVR). OBJECTIVE:
To determine the associated factors, clinical characteristics, and outcomes of patients who had infective endocarditis after TAVR. DESIGN, SETTING, ANDPARTICIPANTS:
The Infectious Endocarditis after TAVR International Registry included patients with definite infective endocarditis after TAVR from 47 centers from Europe, North America, and South America between June 2005 and October 2015. EXPOSURE Transcatheter aortic valve replacement for incidence of infective endocarditis and infective endocarditis for in-hospital mortality. MAIN OUTCOMES ANDMEASURES:
Infective endocarditis and in-hospital mortality after infective endocarditis.RESULTS:
A total of 250 cases of infective endocarditis occurred in 20 006 patients after TAVR (incidence, 1.1% per person-year; 95% CI, 1.1%-1.4%; median age, 80 years; 64% men). Median time from TAVR to infective endocarditis was 5.3 months (interquartile range [IQR], 1.5-13.4 months). The characteristics associated with higher risk of progressing to infective endocarditis after TAVR was younger age (78.9 years vs 81.8 years; hazard ratio [HR], 0.97 per year; 95% CI, 0.94-0.99), male sex (62.0% vs 49.7%; HR, 1.69; 95% CI, 1.13-2.52), diabetes mellitus (41.7% vs 30.0%; HR, 1.52; 95% CI, 1.02-2.29), and moderate to severe aortic regurgitation (22.4% vs 14.7%; HR, 2.05; 95% CI, 1.28-3.28). Health care-associated infective endocarditis was present in 52.8% (95% CI, 46.6%-59.0%) of patients...
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Coleções:
06-national
/
BR
Base de dados:
SES-SP
/
SESSP-IDPCPROD
Assunto principal:
Endocardite
/
Endocardite Bacteriana
/
Substituição da Valva Aórtica Transcateter
Tipo de estudo:
Risk_factors_studies
Idioma:
En
Revista:
JAMA
Ano de publicação:
2016
Tipo de documento:
Article