Epidemiology of infective endocarditis in a large Belgian non-referral hospital.

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Acta Clinica Belgica Pub Date : 2014-06-01 Epub Date: 2014-04-25 DOI:10.1179/0001551214Z.00000000046
K Poesen, H Pottel, J Colaert, C De Niel
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引用次数: 12

Abstract

Objectives: Guidelines for diagnosis of infective endocarditis are largely based upon epidemiological studies in referral hospitals. Referral bias, however, might impair the validity of guidelines in non-referral hospitals. Recent studies in non-referral care centres on infective endocarditis are sparse. We conducted a retrospective epidemiological study on infective endocarditis in a large non-referral hospital in a Belgian city (Kortrijk).

Methods: The medical record system was searched for all cases tagged with a putative diagnosis of infective endocarditis in the period 2003-2010. The cases that fulfilled the modified Duke criteria for probable or definite infective endocarditis were included.

Results: Compared to referral centres, an older population with infective endocarditis, and fewer predisposing cardiac factors and catheter-related infective endocarditis is seen in our population. Our patients have fewer prosthetic valve endocarditis as well as fewer staphylococcal endocarditis. Our patients undergo less surgery, although mortality rate seems to be highly comparable with referral centres, with nosocomial infective endocarditis as an independent predictor of mortality.

Conclusion: The present study suggests that characteristics of infective endocarditis as well as associative factors might differ among non-referral hospitals and referral hospitals.

比利时一家大型非转诊医院感染性心内膜炎的流行病学研究。
目的:感染性心内膜炎的诊断指南主要基于转诊医院的流行病学研究。然而,转诊偏倚可能会损害指南在非转诊医院的有效性。最近在非转诊护理中心对感染性心内膜炎的研究很少。我们在比利时城市(Kortrijk)的一家大型非转诊医院对感染性心内膜炎进行了回顾性流行病学研究。方法:检索2003-2010年期间所有诊断为感染性心内膜炎的病例。符合修改的杜克标准的病例可能或明确的感染性心内膜炎包括在内。结果:与转诊中心相比,我们的人群中有老年感染性心内膜炎,易感心脏因素和导管相关的感染性心内膜炎较少。我们的病人有较少的人工瓣膜心内膜炎以及较少的葡萄球菌性心内膜炎。我们的患者较少接受手术,尽管死亡率似乎与转诊中心高度相似,医院感染性心内膜炎是死亡率的独立预测因子。结论:非转诊医院与转诊医院感染性心内膜炎的特点及相关因素可能存在差异。
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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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