Value of surgery for infective endocarditis in dialysis patients

Abstract Objectives To determine the value of surgery for infective endocarditis (IE) in patients on hemodialysis by comparing the nature and invasiveness of endocarditis in hemodialysis and nonhemodialysis patients and their hospital and long-term outcomes, and identifying risk factors for time-rel...

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Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 2017-07, Vol.154 (1), p.61-70.e6
Hauptverfasser:	Raza, Sajjad, MD, Hussain, Syed T., MD, Rajeswaran, Jeevanantham, PhD, Ansari, Asif, MD, Trezzi, Matteo, MD, Arafat, Amr, MD, Witten, James, BS, Ravichandren, Kirthi, MD, Riaz, Haris, MD, Javadikasgari, Hoda, MD, Panwar, Sunil, MD, Demirjian, Sevag, MD, Shrestha, Nabin K., MD, Fraser, Thomas G., MD, Navia, José L., MD, Lytle, Bruce W., MD, Blackstone, Eugene H., MD, Pettersson, Gösta B., MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Cardiac Surgical Procedures - mortality Cardiothoracic Surgery Case-Control Studies Echocardiography Endocarditis - diagnostic imaging Endocarditis - etiology Endocarditis - mortality Endocarditis - surgery Female Hospital Mortality Humans Male Middle Aged Propensity Score Renal Dialysis - adverse effects reoperation Risk Factors survival Survival Analysis Treatment Outcome valve surgery
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Zusammenfassung:	Abstract Objectives To determine the value of surgery for infective endocarditis (IE) in patients on hemodialysis by comparing the nature and invasiveness of endocarditis in hemodialysis and nonhemodialysis patients and their hospital and long-term outcomes, and identifying risk factors for time-related mortality after surgery. Methods From January 1997 to January 2013, 144 patients on chronic hemodialysis and 1233 nonhemodialysis patients underwent valve surgery for IE at our institution. Propensity matching identified 99 well-matched hemodialysis and nonhemodialysis patient pairs for comparison of outcomes. Results Staphylococcus aureus infection was more common in hemodialysis patients than in nonhemodialysis patients (42% vs 21%; P
ISSN:	0022-5223 1097-685X
DOI:	10.1016/j.jtcvs.2017.02.063