Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Surgery and outcome of infective endocarditis in octogenarians: prospective data from the ESC EORP EURO-ENDO registry
Infection, Volume 50, No. 5, Year 2022
Notification
URL copied to clipboard!
Description
Purpose: High mortality and a limited performance of valvular surgery are typical features of infective endocarditis (IE) in octogenarians, even though surgical treatment is a major determinant of a successful outcome in IE. Methods: Data from the prospective multicentre ESC EORP EURO-ENDO registry were used to assess the prognostic role of valvular surgery depending on age. Results: As compared to < 80 yo patients, ≥ 80 yo had lower rates of theoretical indication for valvular surgery (49.1% vs. 60.3%, p < 0.001), of surgery performed (37.0% vs. 75.5%, p < 0.001), and a higher in-hospital (25.9% vs. 15.8%, p < 0.001) and 1-year mortality (41.3% vs. 22.2%, p < 0.001). By multivariable analysis, age per se was not predictive of 1-year mortality, but lack of surgical procedures when indicated was strongly predictive (HR 2.98 [2.43–3.66]). By propensity analysis, 304 ≥ 80 yo were matched to 608 < 80 yo patients. Propensity analysis confirmed the lower rate of indication for valvular surgery (51.3% vs. 57.2%, p = 0.031) and of surgery performed (35.3% vs. 68.4%, p < 0.0001) in ≥ 80 yo. Overall mortality remained higher in ≥ 80 yo (in-hospital: HR 1.50[1.06–2.13], p = 0.0210; 1-yr: HR 1.58[1.21–2.05], p = 0.0006), but was not different from that of < 80 yo among those who had surgery (in-hospital: 19.7% vs. 20.0%, p = 0.4236; 1-year: 27.3% vs. 25.5%, p = 0.7176). Conclusion: Although mortality rates are consistently higher in ≥ 80 yo patients than in < 80 yo patients in the general population, mortality of surgery in ≥ 80 yo is similar to < 80 yo after matching patients. These results confirm the importance of a better recognition of surgical indication and of an increased performance of surgery in ≥ 80 yo patients. © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
Authors & Co-Authors
Pazdernik, Michal
Czech Republic, Prague
Institutu Klinické a Experimentální Medicíny
Czech Republic, Prague
Charles University
Alla, François F.
France, Talence
Centre Hospitalier Universitaire de Bordeaux
Nunes, Maria Carmo Pereira
Brazil, Belo Horizonte
Universidade Federal de Minas Gerais
Piérard, Luc
Belgium, Liege
Université de Liège
Srdanović, Ilija
Serbia, Novi Sad
Faculty of Medicine, University of Novi Sad
Magne, Julien
France, Limoges
Chu de Limoges
Piper, Cornelia
Germany, Bochum
Ruhr-universitat Bochum
Laroche, Cécile
Unknown Affiliation
Maggioni, Aldo Pietro
Unknown Affiliation
Lancellotti, Patrizio
Belgium, Liege
Centre Hospitalier Universitaire de Liege
Habib, Gilbert B.
France, Marseille
Ap-hm Assistance Publique - Hôpitaux de Marseille
Ronderos, Ricardo Ernesto
Unknown Affiliation
Avegliano, Gustavo Pablo
Unknown Affiliation
Oses, Pablo Fernández
Unknown Affiliation
Filipini, Eduardo C.
Unknown Affiliation
Granada, I.
Unknown Affiliation
Iribarren, Ana C.
Unknown Affiliation
Mahia, Mariana Cecilia
Unknown Affiliation
Nacinovich, Francisco M.
Unknown Affiliation
Ressi, S.
Unknown Affiliation
Obregón, Ricardo O.
Unknown Affiliation
Bangher, María C.
Unknown Affiliation
Dho, J.
Unknown Affiliation
Cartasegna, Luis Rodolfo
Unknown Affiliation
Plastino, Maria Laura
Unknown Affiliation
Novas, V.
Unknown Affiliation
Shigel, C.
Unknown Affiliation
Casabe´, José Horacio
Unknown Affiliation
Cortés, Claudia Mariana
Unknown Affiliation
Weidinger, Franz F.
Unknown Affiliation
Stöllberger, Claudia
Unknown Affiliation
Goliasch, Georg
Unknown Affiliation
Rosenhek, Raphaël A.
Unknown Affiliation
Hoffer, Etienne P.
Unknown Affiliation
Piérard, Luc A.
Unknown Affiliation
Dulgheru, Raluca Elena
Unknown Affiliation
Marchetta, Stella
Unknown Affiliation
Cosyns, Bernard
Unknown Affiliation
Roosens, Bram
Unknown Affiliation
Konopnicki, Deborah
Unknown Affiliation
Beauloye, Christophe R.
Unknown Affiliation
Pasquet, Agnès A.
Unknown Affiliation
Vanoverschelde, Jean Louis
Unknown Affiliation
Felix, Ana
Unknown Affiliation
Vieira, Marcelo Luiz Campos
Unknown Affiliation
Afonso, Tânia Regina
Unknown Affiliation
Ramos, Auristela Isabel De Oliveira
Unknown Affiliation
Arnoni, Renato Tambellini Ambellini
Unknown Affiliation
Chan, Kwanleung
Unknown Affiliation
Pîbarot, Philippe
Unknown Affiliation
Sebag, Igal A.
Unknown Affiliation
Rudski, Lawrence Glenn
Unknown Affiliation
Barŝić, Bruno U.
Unknown Affiliation
Krajinović, Vladimir
Unknown Affiliation
Šeparović-Hanževački, Jadranka
Unknown Affiliation
Lovrić, Daniel
Unknown Affiliation
Rešković-Lukšić, Vlatka
Unknown Affiliation
Vincelj, Josip
Unknown Affiliation
Yiangou, K.
Unknown Affiliation
Pudich, Jiri
Unknown Affiliation
Linhart, Aleš
Unknown Affiliation
Blechová, Kamila
Unknown Affiliation
Coufal, Zdeněk
Unknown Affiliation
Táborsḱy, Miloš
Unknown Affiliation
Widimský, Jiří
Unknown Affiliation
Špinar, Jindřich
Unknown Affiliation
Mahfouz, Essam M.
Unknown Affiliation
Soliman, Ahmed M.
Unknown Affiliation
Aboulenein, Jane Nader Ramadan
Unknown Affiliation
Abdel Hay, Mohamed Ayman
Unknown Affiliation
Almaghraby, Abdallah Mostafa
Unknown Affiliation
Abdelnabi, Mahmoud Hassan
Unknown Affiliation
Hammad, Basma Abdelkader
Unknown Affiliation
Saleh, Yehia
Unknown Affiliation
Saad, Aly Mohamed Abd Alrahman
Unknown Affiliation
Zeid, A.
Unknown Affiliation
Meshaal, Marwa S.
Unknown Affiliation
Osama, Dina
Unknown Affiliation
Rizk, Hussien Hassan
Unknown Affiliation
Elmogy, Ahmed A.
Unknown Affiliation
Mishriky, Mary Atef
Unknown Affiliation
Gagneux-Brunon, Amandine
Unknown Affiliation
Boutoille, David
Unknown Affiliation
Faucher, Jean François
Unknown Affiliation
Aboyans, Victor
Unknown Affiliation
Mohty, Dania
Unknown Affiliation
Hoën, Bruno
Unknown Affiliation
Lefèvre, Benjamin
Unknown Affiliation
Gueit, Isabelle
Unknown Affiliation
Tribouilloy, Christophe M.
Unknown Affiliation
Duval, Xavier
Unknown Affiliation
Goehringer, François
Unknown Affiliation
Huttin, Olivier
Unknown Affiliation
Tattevin, Pierre
Unknown Affiliation
Donal, Erwan
Unknown Affiliation
Hubert, Sandrine
Unknown Affiliation
Casalta, Jean Paul
Unknown Affiliation
Gouriet, Frédérique
Unknown Affiliation
Arregle, Florent
Unknown Affiliation
Ribéri, Alberto
Unknown Affiliation
Chirouze, Catherine
Unknown Affiliation
Bouiller, Kevin
Unknown Affiliation
Brunel, Anne Sophie
Unknown Affiliation
Klopfenstein, Timothée E.
Unknown Affiliation
Lim, Pascal
Unknown Affiliation
Ternacle, Julien
Unknown Affiliation
Chavanét, Pascal Y.
Unknown Affiliation
Piroth, Lionel
Unknown Affiliation
Mahy, Sophie
Unknown Affiliation
Hagendorff, Andreas
Unknown Affiliation
Nickenig, Georg
Unknown Affiliation
Schueler, Robert
Unknown Affiliation
Stöhr, Elisabeth
Unknown Affiliation
Walther, Thomas
Unknown Affiliation
Knebel, Fabian G.
Unknown Affiliation
Pfäfflin, Frieder
Unknown Affiliation
Stegemann, Miriam Songa
Unknown Affiliation
Athanassopoulos, George D.
Unknown Affiliation
Rallidis, Lοukianos S.
Unknown Affiliation
Manolis, Athanasios John
Unknown Affiliation
Gara, Edit
Unknown Affiliation
Sengupta, Shantanu P.
Unknown Affiliation
Kasliwal, Ravi Ratan
Unknown Affiliation
Bansal, Manish
Unknown Affiliation
Sadeghpour, Anita
Unknown Affiliation
Alizadehasl, Azin Com
Unknown Affiliation
Strahilevitz, Jacob
Unknown Affiliation
Colonna, Paolo
Unknown Affiliation
Marchionni, Niccolò Ò.
Unknown Affiliation
Scheggi, Valentina
Unknown Affiliation
Sparano, Clotilde
Unknown Affiliation
Badano, Luigi P.
Unknown Affiliation
Muraru, Denisa
Unknown Affiliation
Ruozi, Niccolò
Unknown Affiliation
Giannattasio, Cristina
Unknown Affiliation
Moreo, Antonella
Unknown Affiliation
de Chiara, Benedetta Carla
Unknown Affiliation
De Bonis, Michele
Unknown Affiliation
Agricola, Eustachio
Unknown Affiliation
Chiappetta, Stefania
Unknown Affiliation
Oltolini, Chiara
Unknown Affiliation
Ripa, Marco
Unknown Affiliation
Citro, R.
Unknown Affiliation
Benvenga, Rossella Maria
Unknown Affiliation
Radano, Ilaria
Unknown Affiliation
Bellino, Michele
Unknown Affiliation
Di Vece, Davide
Unknown Affiliation
Santini, Francesco
Unknown Affiliation
Salsano, Antonio
Unknown Affiliation
Turrini, Fabrizio
Unknown Affiliation
Izumi, Chisato
Unknown Affiliation
Amano, Masashi
Unknown Affiliation
Miyake, Makoto
Unknown Affiliation
Miyasaka, Y.
Unknown Affiliation
Kitai, Takeshi
Unknown Affiliation
Park, Seung-woo
Unknown Affiliation
Hwang, Jiwon
Unknown Affiliation
Kang, Duck-hyun
Unknown Affiliation
Jonkaitienė, Regina
Unknown Affiliation
Vaškelyte, Jolanta Justina
Unknown Affiliation
Mizarienė, Vaida
Unknown Affiliation
Žvirblytė, Rūta
Unknown Affiliation
Sow, Rouguiatou
Unknown Affiliation
Staub, Thérèse
Unknown Affiliation
Yamagata, K.
Unknown Affiliation
Mirocevic, M.
Unknown Affiliation
Bulatović, Nebojša S.
Unknown Affiliation
Roos-Hesselink, Jolien W.
Unknown Affiliation
Budde, Ricardo P.J.
Unknown Affiliation
Kamp, Otto
Unknown Affiliation
van Melle, Joost P.
Unknown Affiliation
Crijns, Harry JGM
Unknown Affiliation
Kietselaer, Bas L.J.H.
Unknown Affiliation
Lorusso, Roberto R.
Unknown Affiliation
Chamuleau, Steven Anton Jozef
Unknown Affiliation
Cramer, Maarten Jan Maria
Unknown Affiliation
Tanis, Wilco
Unknown Affiliation
van Dongen, Eric Paulus Adrianus
Unknown Affiliation
Axler, Olivier
Unknown Affiliation
Edvardsen, Thor
Unknown Affiliation
Beitnes, Jan Otto
Unknown Affiliation
Qamar, Nadeem
Unknown Affiliation
Furnaz, Shumaila
Unknown Affiliation
Kasprzak, Jarosław Damian
Unknown Affiliation
Timóteo, Ana Teresa
Unknown Affiliation
Cardim, Nuno Miguel
Unknown Affiliation
Pereira, He´lder Horta
Unknown Affiliation
Cruz, Inês Rebelo
Unknown Affiliation
Darabantiu, Dan A.
Unknown Affiliation
Kobalava, Zhanna D.
Unknown Affiliation
Alrahimi, Jamilah Saad
Unknown Affiliation
Jamiel, Abdulrahman A.
Unknown Affiliation
Ahmed, Ashraf
Unknown Affiliation
Al-Mallah, Mouaz Husayn
Unknown Affiliation
Putniković, Biljana I.
Unknown Affiliation
Nešković, Aleksandar N.
Unknown Affiliation
Ivanović, Branislava Aleksa
Unknown Affiliation
Kovačević, Mila
Unknown Affiliation
Velicki, Lazar U.
Unknown Affiliation
Kong, William Kf
Unknown Affiliation
Poh, Kiankeong
Unknown Affiliation
Vilacosta, Isidre V.
Unknown Affiliation
Raposeiras-Roubín, Sergio
Unknown Affiliation
García-Dorado, David
Unknown Affiliation
Sambola, Antonia
Unknown Affiliation
Fernández-Hidalgo, Núria
Unknown Affiliation
Tornos, Pilar
Unknown Affiliation
Bayés-Genís, Antoni
Unknown Affiliation
Núñez, Rodolfo F.
Unknown Affiliation
Blanes, Marino
Unknown Affiliation
Zamorano, José Luis
Unknown Affiliation
González Rico, Claudia
Unknown Affiliation
Rodríguez-Álvarez, Regino José
Unknown Affiliation
Montejo, Miguel
Unknown Affiliation
Miró, José María ª.
Unknown Affiliation
Almela, Manuel Vidal
Unknown Affiliation
Ambrosioni, Juan C.
Unknown Affiliation
Falces, Carlos
Unknown Affiliation
Fuster, David
Unknown Affiliation
García-De-La-Mària, Cristina
Unknown Affiliation
Hernández-Meneses, Marta M.
Unknown Affiliation
Llopis, Jaume L.
Unknown Affiliation
Marco, Francesc
Unknown Affiliation
Moreno, Asunciõn Pizarro
Unknown Affiliation
Quintana, Eduard
Unknown Affiliation
Sandoval, Elena
Unknown Affiliation
Téllez, Adrián
Unknown Affiliation
Tolosana, J. M.
Unknown Affiliation
Vidal, Bàrbara Lorenzo
Unknown Affiliation
Abid, L.
Unknown Affiliation
Hammami, Rania
Unknown Affiliation
Kammoun, Samir
Unknown Affiliation
Mourali, Mohamed Sami
Unknown Affiliation
Zghal, Fathia Mghaieth
Unknown Affiliation
Hlima, Manel Ben
Unknown Affiliation
Boudiche, Selim
Unknown Affiliation
Ouali, Sana
Unknown Affiliation
Zakhama, Lilia
Unknown Affiliation
Antit, Saoussen
Unknown Affiliation
Slama, Iskander
Unknown Affiliation
Sade, Leyla Elif Lif
Unknown Affiliation
Sinan, Ümit Yaşar
Unknown Affiliation
Zaky, Hosam
Unknown Affiliation
Menezes, Leon Jonathan
Unknown Affiliation
Prendergast, Bernard D.
Unknown Affiliation
Cannata, Stefano
Unknown Affiliation
Klein, John L.
Unknown Affiliation
Ursi, Maria Paola
Unknown Affiliation
Dworakowski, Rafał
Unknown Affiliation
Asch, Federico Miguel
Unknown Affiliation
Uzokov, J. K.
Unknown Affiliation
Statistics
Citations: 10
Authors: 251
Affiliations: 17
Identifiers
Doi:
10.1007/s15010-022-01792-0
ISSN:
03008126
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study
Case-Control Study