CC BY-NC-ND 4.0 · Journal of Cardiac Critical Care TSS 2022; 06(01): 012-016
DOI: 10.1055/s-0042-1750194
Original Article

Postoperative Mortality in Surgically Treated Infective Endocarditis Patients and Its Correlation with EuroSCORE I

Amit Anand
1   Department of Cardiothoracic and Vascular Surgery, Cadio-Thoracic Centre, All India Institute of Medical Sciences, New Delhi
,
Sarvesh Pal Singh
1   Department of Cardiothoracic and Vascular Surgery, Cadio-Thoracic Centre, All India Institute of Medical Sciences, New Delhi
,
Manoj Sahu
1   Department of Cardiothoracic and Vascular Surgery, Cadio-Thoracic Centre, All India Institute of Medical Sciences, New Delhi
,
Milind Padmakar Hote
1   Department of Cardiothoracic and Vascular Surgery, Cadio-Thoracic Centre, All India Institute of Medical Sciences, New Delhi
,
Ummed Singh
1   Department of Cardiothoracic and Vascular Surgery, Cadio-Thoracic Centre, All India Institute of Medical Sciences, New Delhi
,
Pradeep Ramakrishnan Reddy
1   Department of Cardiothoracic and Vascular Surgery, Cadio-Thoracic Centre, All India Institute of Medical Sciences, New Delhi
› Institutsangaben

Abstract

Introduction Even after advances in medical and surgical treatment, infective endocarditis is associated with substantial morbidity and mortality. The aim of this study was to evaluate postoperative mortality in surgically treated infective endocarditis patients and its correlation with the European System for Cardiac Operative Risk Evaluation (EuroSCORE) I.

Methods This retrospective observational study included 43 patients treated surgically for infective endocarditis, between 2014 and 2019, at a tertiary care center. Mortality in surgically treated infective endocarditis patients was determined in terms of frequency (%). Patients were divided into two groups—survivors and nonsurvivors (died within 30 days of surgery). Mean EuroSCORE I of survivors and nonsurvivors was compared using the unpaired t-test with equal variance. A correlation was sought between mortality and EuroSCORE I as well. The prediction ability of EuroSCORE I for mortality was determined by the area under receiver operating characteristic curve.

Results Out of 43 patients who underwent surgery for infective endocarditis,11 patients (25.58%) died. Mean EuroSCORE I was 15.90 ± 2.02 in nonsurvivors and 7.84 ± 3.19 in survivors. EuroSCORE I was significantly higher in nonsurvivors (p < 0.05). The area under curve value was 0.9744 (p < 0.001), thus showing that EuroSCORE I predicts mortality in surgically treated infective endocarditis patients.

Conclusion The 30-day mortality in patients who underwent surgery for infective endocarditis was 25.58%. There is a significant correlation between EuroSCORE I and mortality. A EuroSCORE I value >14 predicts mortality in surgically treated infective endocarditis patients with sensitivity and specificity of 90.91 and 90.63%, respectively.



Publikationsverlauf

Artikel online veröffentlicht:
01. Juni 2022

© 2022. Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India