The Need for a Specific Risk Prediction System in Native Valve Infective Endocarditis Surgery
Joint Authors
Cotrufo, Maurizio
Giordano, Salvatore
Della Corte, Alessandro
Della Ratta, Ester E.
De Feo, Marisa
De Santo, Luca S.
Nappi, Gianantonio
Carozza, Antonio
Amendolara, Francesco
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-03-12
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
The need for a specific risk score system for infective endocarditis (IE) surgery has been previously claimed.
In a single-center pilot study, preliminary to future multicentric development and validation, bivariate and multivariate (logistic regression) analysis of early postoperative mortality predictors in 440 native valve IE patients were performed.
Mathematical procedures assigned scores to the independent predictors emerged (AUC of the ROC curve: 0.88).
Overall mortality was 9.1%.
Six predictors were identified and assigned scores, including age (5–13 points), renal failure (5), NYHA class IV (9), critical preoperative state (11), lack of preoperative attainment of blood culture negativity (5), perivalvular involvement (5).
Four risk classes were drawn ranging from “very low risk” (≤5 points, mean predicted mortality 1%), and to “very high risk” (≥20 points, 43% mortality).
IE-specific risk stratification models are both needed, as disease-specific factors (e.g., cultures, abscess), beside the generic ones (e.g., age, renal impairment) affect mortality, and feasible.
American Psychological Association (APA)
De Feo, Marisa& Cotrufo, Maurizio& Carozza, Antonio& De Santo, Luca S.& Amendolara, Francesco& Giordano, Salvatore…[et al.]. 2012. The Need for a Specific Risk Prediction System in Native Valve Infective Endocarditis Surgery. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-462171
Modern Language Association (MLA)
De Feo, Marisa…[et al.]. The Need for a Specific Risk Prediction System in Native Valve Infective Endocarditis Surgery. The Scientific World Journal No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-462171
American Medical Association (AMA)
De Feo, Marisa& Cotrufo, Maurizio& Carozza, Antonio& De Santo, Luca S.& Amendolara, Francesco& Giordano, Salvatore…[et al.]. The Need for a Specific Risk Prediction System in Native Valve Infective Endocarditis Surgery. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-462171
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-462171