Surgical treatment of left-sided infective endocarditis with symptomatic neurological complications before surgery in China

INTRODUCTION: We aimed to investigate surgical treatment of left-sided infective endocarditis with symptomatic neurological complications before surgery. METHODS: This was a retrospective study of patients with left-sided infective endocarditis and symptomatic neurological complications before surge...

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Detalles Bibliográficos
Autores principales: Huang, Jing-bin, Lu, Chang-chao, Wen, Zhao-ke, Yang, Jian-rong, Li, Jun-jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Cardiovascular Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510404/
https://www.ncbi.nlm.nih.gov/pubmed/37736022
http://dx.doi.org/10.3389/fcvm.2023.1217148
Descripción
Sumario:INTRODUCTION: We aimed to investigate surgical treatment of left-sided infective endocarditis with symptomatic neurological complications before surgery. METHODS: This was a retrospective study of patients with left-sided infective endocarditis and symptomatic neurological complications before surgery undergoing cardiac surgery between January 2006 and November 2022 at our hospital. RESULTS: Eight hundred thirty-two patients were divided into group with symptomatic neurological complications before surgery (n = 112) and without symptomatic neurological complications before surgery (n = 720). There were 48 operative deaths (5.4%). Univariate and multivariate analyses showed that symptomatic neurological complications before surgery is statistically significantly associated with in-hospital mortality following cardiac surgery and prolonged intubation time. CONCLUSIONS: Our study showed that symptomatic neurological complications before surgery are associated with increased in-hospital mortality following cardiac surgery and prolonged intubation time.

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