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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Infective Endocarditis in Patients on Chronic Hemodialysis
Journal of the American College of Cardiology, Volume 77, No. 13, Year 2021
Notification
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Description
Background: Infective endocarditis (IE) is a common and serious complication in patients receiving chronic hemodialysis (HD). Objectives: This study sought to investigate whether there are significant differences in complications, cardiac surgery, relapses, and mortality between IE cases in HD and non-HD patients. Methods: Prospective cohort study (International Collaboration on Endocarditis databases, encompassing 7,715 IE episodes from 2000 to 2006 and from 2008 to 2012). Descriptive analysis of baseline characteristics, epidemiological and etiological features, complications and outcomes, and their comparison between HD and non-HD patients was performed. Risk factors for major embolic events, cardiac surgery, relapses, and in-hospital and 6-month mortality were investigated in HD-patients using multivariable logistic regression. Results: A total of 6,691 patients were included and 553 (8.3%) received HD. North America had a higher HD-IE proportion than the other regions. The predominant microorganism was Staphylococcus aureus (47.8%), followed by enterococci (15.4%). Both in-hospital and 6-month mortality were significantly higher in HD versus non–HD-IE patients (30.4% vs. 17% and 39.8% vs. 20.7%, respectively; p < 0.001). Cardiac surgery was less frequently performed among HD patients (30.6% vs. 46.2%; p < 0.001), whereas relapses were higher (9.4% vs. 2.7%; p < 0.001). Risk factors for 6-month mortality included Charlson score (hazard ratio [HR]: 1.26; 95% confidence interval [CI]: 1.11 to 1.44; p = 0.001), CNS emboli and other emboli (HR: 3.11; 95% CI: 1.84 to 5.27; p < 0.001; and HR: 1.73; 95% CI: 1.02 to 2.93; p = 0.04, respectively), persistent bacteremia (HR: 1.79; 95% CI: 1.11 to 2.88; p = 0.02), and acute onset heart failure (HR: 2.37; 95% CI: 1.49 to 3.78; p < 0.001). Conclusions: HD-IE is a health care–associated infection chiefly caused by S. aureus, with increasing rates of enterococcal IE. Mortality and relapses are very high and significantly larger than in non–HD-IE patients, whereas cardiac surgery is less frequently performed. © 2021 American College of Cardiology Foundation
Authors & Co-Authors
Pericàs, Juan Manuel
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Llopis, Jaume L.
Spain, Barcelona
Universitat de Barcelona
Jiménez-Expósito, María Jesús
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Almirante, Benito
Spain, Barcelona
Hospital Clinic Barcelona
Carosi, Giaampiero
Italy, Brescia
Spedali Civili Di Brescia
Durante-Mangoni, Emanuele
Italy, Naples
Ospedale V. Monaldi
Fortes, Claudio Querido
Brazil, Rio de Janeiro
Universidade Federal do Rio de Janeiro
Giannitsioti, Efthymia
Greece, Athens
Attikon University Hospital
Lerakis, Stamatios
United States, Chicago
Sinai Health System
Ambrosioni, Juan C.
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Tan, Ru San
Singapore, Singapore City
National Heart Centre Singapore
Mestres, Carlos Alberto
Switzerland, Zurich
Universitatsspital Zurich
Wray, Dannah W.
United States, Charleston
Medical University of South Carolina
Pachirat, O.
Thailand, Khon Kaen
Khon Kaen University
Moreno, Asunciõn Pizarro
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Chu, Vivian H.
United States, Durham
Duke University School of Medicine
de Làzzari, Elisa
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Fowler, Vance G.
United States, Durham
Duke University School of Medicine
Miró, Josep Ma
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Clara, Liliana O.
Unknown Affiliation
Sánchez, Marisa Carmen
Unknown Affiliation
Casabe´, José Horacio
Unknown Affiliation
Cortés, Claudia Mariana
Unknown Affiliation
Nacinovich, Francisco M.
Unknown Affiliation
Oses, Pablo Fernández
Unknown Affiliation
Ronderos, Ricardo Ernesto
Unknown Affiliation
Súcari, Adriana
Unknown Affiliation
Thierer, Jorge Mario
Unknown Affiliation
Altclas, Javier David
Unknown Affiliation
Kogan, Silvia
Unknown Affiliation
Spelman, Denis W.
Unknown Affiliation
Athan, E.
Unknown Affiliation
Harris, Owen C.
Unknown Affiliation
Kennedy, Karina J.
Unknown Affiliation
Tan, Ren
Unknown Affiliation
Gordon, David Llewellyn
Unknown Affiliation
Papanicolas, Lito Electra
Unknown Affiliation
Korman, Tony M.
Unknown Affiliation
Kotsanas, Despina
Unknown Affiliation
Dever, Robyn
Unknown Affiliation
Jones, Philip D.
Unknown Affiliation
Konecny, Pam
Unknown Affiliation
Lawrence, Richard H.
Unknown Affiliation
Rees, David M.
Unknown Affiliation
Ryan, Suzanne
Unknown Affiliation
Feneley, Michael P.
Unknown Affiliation
Harkness, John L.
Unknown Affiliation
Post, Jeffrey J.
Unknown Affiliation
Reinbott, Porl
Unknown Affiliation
Gattringer, Rainer
Unknown Affiliation
Wiesbauer, Franz
Unknown Affiliation
Andrade, Adriana Ribas
Unknown Affiliation
Guimarães, Armênio Costa
Unknown Affiliation
Grínberg, Max
Unknown Affiliation
Mansur, José Alfredo
Unknown Affiliation
Siciliano, Rinaldo Focaccia
Unknown Affiliation
Campos-Vieira, Marcelo Luiz
Unknown Affiliation
de Medeiros Tranchesi, Regina Aparecida
Unknown Affiliation
Paiva, Marcelo Goulart
Unknown Affiliation
de Oliveira Ramos, Auristela Isabel
Unknown Affiliation
Weksler, Clara
Unknown Affiliation
Ferraiuoli, Giovanna Ianini D.Almeida
Unknown Affiliation
Golebiovski, Wilma Felix
Unknown Affiliation
Lamas, C. C.
Unknown Affiliation
Karlowsky, James A.
Unknown Affiliation
Keynan, Y.
Unknown Affiliation
Morris, Andrew Mark
Unknown Affiliation
Rubinstein, Ethan
Unknown Affiliation
Jones, Sandra Braun
Unknown Affiliation
García, Patricia Muñoz
Unknown Affiliation
Cereceda, Mauricio
Unknown Affiliation
Fica C, Alberto E.
Unknown Affiliation
Mella, Rodrigo Montagna
Unknown Affiliation
Fernández, Ricardo Rodríguez
Unknown Affiliation
Franco-Lara, Liliana F.
Unknown Affiliation
González, Javier Mauricio
Unknown Affiliation
Jaramillo, Astrid Natalia Molina
Unknown Affiliation
Barŝić, Bruno U.
Unknown Affiliation
Bukovski, Suzana
Unknown Affiliation
Krajinović, Vladimir
Unknown Affiliation
Pangerčić, Ana
Unknown Affiliation
Rudež, Igor
Unknown Affiliation
Vincelj, Josip
Unknown Affiliation
Freiberger, Tomas
Unknown Affiliation
Pol, Jiří
Unknown Affiliation
Žaloudíková, Barbora
Unknown Affiliation
Ashour, Zainab
Unknown Affiliation
El Kholy, Amani Aly
Unknown Affiliation
Mishaal, Marwa
Unknown Affiliation
Osama, Dina
Unknown Affiliation
Rizk, Hussien Hassan
Unknown Affiliation
Aissa, Neijla
Unknown Affiliation
Alauzet, Corentine
Unknown Affiliation
Alla, François F.
Unknown Affiliation
Campagnac, Catherine
Unknown Affiliation
Doco-Lecompte, Thanh
Unknown Affiliation
Selton-Suty, Christine
Unknown Affiliation
Casalta, Jean Paul
Unknown Affiliation
Fournier, Pierre Édouard
Unknown Affiliation
Habib, Gilbert B.
Unknown Affiliation
Raoult, Didier A.
Unknown Affiliation
Thuny, Franck Roland
Unknown Affiliation
Delahaye, Franc¸ois
Unknown Affiliation
Delahaye, Armelle
Unknown Affiliation
Vandenesch, François
Unknown Affiliation
Donal, Erwan
Unknown Affiliation
Donnio, Pierre Yves
Unknown Affiliation
Michelet, Christian
Unknown Affiliation
Tattevin, Pierre
Unknown Affiliation
Ruşinaru, Dan M.D.
Unknown Affiliation
Tribouilloy, Christophe M.
Unknown Affiliation
Bernard, Yvette F.
Unknown Affiliation
Chirouze, Catherine
Unknown Affiliation
Hoën, Bruno
Unknown Affiliation
Leroy, Joël E.
Unknown Affiliation
Plèsiat, Patrick
Unknown Affiliation
Giamarellou, Helen
Unknown Affiliation
Paniara, Olga I.
Unknown Affiliation
Skoutelis, Athanasios Th
Unknown Affiliation
Francis, Johnson
Unknown Affiliation
Thomas, Vinod
Unknown Affiliation
Venugopal, Krishnan
Unknown Affiliation
Hannan, Margaret M.
Unknown Affiliation
Hurley, John P.
Unknown Affiliation
Korem, Maya
Unknown Affiliation
Strahilevitz, Jacob
Unknown Affiliation
Iossa, Domenico
Unknown Affiliation
Orlando, Serena
Unknown Affiliation
Ursi, Maria Paola
Unknown Affiliation
Pafundi, Pia Clara
Unknown Affiliation
Bernardo, Mariano
Unknown Affiliation
Cuccurullo, Susanna
Unknown Affiliation
Dialetto, Giovanni
Unknown Affiliation
Covino, Franco Enrico
Unknown Affiliation
Manduca, Sabrina
Unknown Affiliation
Della Corte, Alessandro
Unknown Affiliation
de Feo, Marisa D.
Unknown Affiliation
Tripodi, Marie Franc¸oise
Unknown Affiliation
Cecchi, Enrico
Unknown Affiliation
De Rosa, Francesco Giuseppe
Unknown Affiliation
Forno, Davide
Unknown Affiliation
Imazio, Massimo M.
Unknown Affiliation
Grossi, Paolo Antonio
Unknown Affiliation
Raglio, Annibale
Unknown Affiliation
Ravasio, Veronica
Unknown Affiliation
Rizzi, Marco
Unknown Affiliation
Suter, Fredy
Unknown Affiliation
Kanafani, Zeina A.
Unknown Affiliation
Kanj, Souha S.
Unknown Affiliation
Sharif-Yakan, Ahmad
Unknown Affiliation
Tamin, Syahidah Syed
Unknown Affiliation
van der Meer, Jan T.M.
Unknown Affiliation
Chambers, S. T.
Unknown Affiliation
Holland, David James
Unknown Affiliation
Morris, Arthur James
Unknown Affiliation
Raymond, Nigel J.
Unknown Affiliation
Read, Kerry M.
Unknown Affiliation
Murdoch, David Roger
Unknown Affiliation
Drãgulescu, Ştefan Iosif
Unknown Affiliation
Vinogradova, Tatiana L.
Unknown Affiliation
Edathodu, Jameela
Unknown Affiliation
Halim, Magid Abdel
Unknown Affiliation
Lejko-Zupanc, Tatjana
Unknown Affiliation
Logar, Mateja
Unknown Affiliation
Mueller-Premru, Manica
Unknown Affiliation
Commerford, Patrick Joseph
Unknown Affiliation
Commerford, Anita
Unknown Affiliation
Deetlefs, Eduan
Unknown Affiliation
Hansa, Cass
Unknown Affiliation
Ntsekhe, Mpiko
Unknown Affiliation
Almela, Manuel Vidal
Unknown Affiliation
Azqueta, Manel
Unknown Affiliation
Brunet, Mercé
Unknown Affiliation
Castro, Pedro R.
Unknown Affiliation
Falces, Carlos
Unknown Affiliation
Fuster, David
Unknown Affiliation
García-De-La-Mària, Cristina
Unknown Affiliation
García-González, Javier
Unknown Affiliation
Gatell, José Mariá A.
Unknown Affiliation
Marco, Francesc
Unknown Affiliation
Miró, José María ª.
Unknown Affiliation
Ortiz-Pérez, José Tomás
Unknown Affiliation
Ninot, Salvador
Unknown Affiliation
Paré, Juan Carlos
Unknown Affiliation
Quintana, Eduard
Unknown Affiliation
Ramírez, José Luís De Francisco
Unknown Affiliation
Sandoval, Elena
Unknown Affiliation
Sitges, Marta
Unknown Affiliation
Téllez, Adrián
Unknown Affiliation
Tolosana, J. M.
Unknown Affiliation
Vidal, Bàrbara Lorenzo
Unknown Affiliation
Vila Estapé, Jordi V.Roig
Unknown Affiliation
Anguera, Ignasi
Unknown Affiliation
Bouza, E. Santiago
Unknown Affiliation
Muñoz, Patricia
Unknown Affiliation
Rodri´guez-Cre´ixems, Marta R.
Unknown Affiliation
Fernández-Hidalgo, Núria
Unknown Affiliation
Tornos, Pilar
Unknown Affiliation
de Alarcón, Ari´stides
Unknown Affiliation
Olaison, Lars
Unknown Affiliation
Snygg-Martin, Ulrika
Unknown Affiliation
Casey, Anna L.
Unknown Affiliation
Elliott, Thomas S.J.
Unknown Affiliation
Lambert, Peter A.
Unknown Affiliation
Watkin, Richard W.
Unknown Affiliation
Klein, John L.
Unknown Affiliation
Kauffman, Carol A.
Unknown Affiliation
Bedimo, Roger J.
Unknown Affiliation
Corey, Gordon Ralph
Unknown Affiliation
Drew, Laura A.
Unknown Affiliation
Holland, Thomas L.
Unknown Affiliation
Lalani, Tahaniyat N.
Unknown Affiliation
Mudrick, Daniel W.
Unknown Affiliation
Samad, Zainab
Unknown Affiliation
Sexton, Daniel J.
Unknown Affiliation
Stryjewski, Martín E.
Unknown Affiliation
Wang, Andrew
Unknown Affiliation
Woods, Christopher W.
Unknown Affiliation
Cantey, Robert
Unknown Affiliation
Steed, Lisa L.
Unknown Affiliation
Dickerman, Stuart A.
Unknown Affiliation
DiPersio, Joseph R.
Unknown Affiliation
Baddley, John W.
Unknown Affiliation
Patel, Mukesh
Unknown Affiliation
Peterson, Gail E.
Unknown Affiliation
Stancoven, Amy Butler
Unknown Affiliation
Cabell, Christopher H.
Unknown Affiliation
Statistics
Citations: 24
Authors: 227
Affiliations: 14
Identifiers
Doi:
10.1016/j.jacc.2021.02.014
ISSN:
07351097
Research Areas
Environmental
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative