Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis
Background: Studies investigating cardiac implantable electronic device infective endocarditis (CIED-IE) epidemiological changes and prognosis over long periods of time are lacking. Methods: Retrospective single cardiovascular surgery center cohort study of definite CIED-IE episodes between 1981-202...
| Autores: | , , , , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:2445/195064 |
| Acceso en línea: | https://hdl.handle.net/2445/195064 |
| Access Level: | acceso abierto |
| Palabra clave: | Pronòstic mèdic Epidemiologia Endocarditis Prognosis Epidemiology |
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Forty-Year Trends in Cardiac Implantable Electronic Device Infective EndocarditisHernández Meneses, MartaLlopis Pérez, JaimeSandoval, ElenaNinot, SalvadorAlmela, M. (Manel)Falces Salvador, CarlesPericàs, Juan M.Vidal, BàrbaraPerissinotti, AndrésMarco Reverté, FrancescMestres, Carlos A.Pare i Bardera, J. CarlesGarcía de la Mària, CristinaCuervo Requena, GuillermoQuintana, EduardTolosana, José M. (José María)Moreno Camacho, Ma. AsunciónMiró Meda, José M. (José María), 1956-Hospital Clinic Infective Endocarditis Team InvestigatorsPronòstic mèdicEpidemiologiaEndocarditisPrognosisEpidemiologyEndocarditisBackground: Studies investigating cardiac implantable electronic device infective endocarditis (CIED-IE) epidemiological changes and prognosis over long periods of time are lacking. Methods: Retrospective single cardiovascular surgery center cohort study of definite CIED-IE episodes between 1981-2020. A comparative analysis of two periods (1981-2000 vs 2001-2020) was conducted to analyze changes in epidemiology and outcome over time. Results: One-hundred and thirty-eight CIED-IE episodes were diagnosed: 25 (18%) first period and 113 (82%) second. CIED-IE was 4.5 times more frequent in the second period, especially in implantable cardiac defibrillators. Age (63 [53-70] vs 71 [63-76] years, P < .01), comorbidities (CCI 3.0 [2-4] vs 4.5 [3-6], P > .01), nosocomial infections (4% vs 15.9%, P = .02) and transfers from other centers (8% vs 41.6%, P < .01) were significantly more frequent in the second period, as were methicillin-resistant coagulase-negative staphylococcal (MR-CoNS) (0% vs 13.3%, P < .01) and Enterococcus spp. (0% vs 5.3%, P = .01) infections, pulmonary embolism (0% vs 10.6%, P < .01) and heart failure (12% vs 28.3%, p < .01). Second period surgery rates were lower (96% vs 87.6%, P = .09), and there were no differences in in-hospital (20% vs 11.5%, P = .11) and one-year mortalities (24% vs 15%, P = .33), or relapses (8% vs 5.3%, P = 0.65). Multivariate analysis showed Charlson index (hazard ratios [95% confidence intervals]; 1.5 [1.16-1.94]) and septic shock (23.09 [4.57-116.67]) were associated with a worse prognosis, whereas device removal (0.11 [.02-.57]), transfers (0.13 [.02-0.95]), and second-period diagnosis (0.13 [.02-.71]) were associated with better one-year outcomes. Conclusions: CIED-IE episodes increased more than four-fold during last 40 years. Despite CIED-IE involved an older population with more comorbidities, antibiotic-resistant MR-CoNS, and complex devices, one-year survival improved.Oxford University Press2023202320222023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion11 p.application/pdfhttps://hdl.handle.net/2445/195064Articles publicats en revistes (Genètica, Microbiologia i Estadística)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1093/ofid/ofac547Open Forum Infectious Diseases, 2022, vol. 9, num. 11, p. 1-11https://doi.org/10.1093/ofid/ofac547cc-by-nc-nd (c) Hernández-Meneses, Marta et al., 2022https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1950642026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis |
| title |
Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis |
| spellingShingle |
Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis Hernández Meneses, Marta Pronòstic mèdic Epidemiologia Endocarditis Prognosis Epidemiology Endocarditis |
| title_short |
Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis |
| title_full |
Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis |
| title_fullStr |
Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis |
| title_full_unstemmed |
Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis |
| title_sort |
Forty-Year Trends in Cardiac Implantable Electronic Device Infective Endocarditis |
| dc.creator.none.fl_str_mv |
Hernández Meneses, Marta Llopis Pérez, Jaime Sandoval, Elena Ninot, Salvador Almela, M. (Manel) Falces Salvador, Carles Pericàs, Juan M. Vidal, Bàrbara Perissinotti, Andrés Marco Reverté, Francesc Mestres, Carlos A. Pare i Bardera, J. Carles García de la Mària, Cristina Cuervo Requena, Guillermo Quintana, Eduard Tolosana, José M. (José María) Moreno Camacho, Ma. Asunción Miró Meda, José M. (José María), 1956- Hospital Clinic Infective Endocarditis Team Investigators |
| author |
Hernández Meneses, Marta |
| author_facet |
Hernández Meneses, Marta Llopis Pérez, Jaime Sandoval, Elena Ninot, Salvador Almela, M. (Manel) Falces Salvador, Carles Pericàs, Juan M. Vidal, Bàrbara Perissinotti, Andrés Marco Reverté, Francesc Mestres, Carlos A. Pare i Bardera, J. Carles García de la Mària, Cristina Cuervo Requena, Guillermo Quintana, Eduard Tolosana, José M. (José María) Moreno Camacho, Ma. Asunción Miró Meda, José M. (José María), 1956- Hospital Clinic Infective Endocarditis Team Investigators |
| author_role |
author |
| author2 |
Llopis Pérez, Jaime Sandoval, Elena Ninot, Salvador Almela, M. (Manel) Falces Salvador, Carles Pericàs, Juan M. Vidal, Bàrbara Perissinotti, Andrés Marco Reverté, Francesc Mestres, Carlos A. Pare i Bardera, J. Carles García de la Mària, Cristina Cuervo Requena, Guillermo Quintana, Eduard Tolosana, José M. (José María) Moreno Camacho, Ma. Asunción Miró Meda, José M. (José María), 1956- Hospital Clinic Infective Endocarditis Team Investigators |
| author2_role |
author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Pronòstic mèdic Epidemiologia Endocarditis Prognosis Epidemiology Endocarditis |
| topic |
Pronòstic mèdic Epidemiologia Endocarditis Prognosis Epidemiology Endocarditis |
| description |
Background: Studies investigating cardiac implantable electronic device infective endocarditis (CIED-IE) epidemiological changes and prognosis over long periods of time are lacking. Methods: Retrospective single cardiovascular surgery center cohort study of definite CIED-IE episodes between 1981-2020. A comparative analysis of two periods (1981-2000 vs 2001-2020) was conducted to analyze changes in epidemiology and outcome over time. Results: One-hundred and thirty-eight CIED-IE episodes were diagnosed: 25 (18%) first period and 113 (82%) second. CIED-IE was 4.5 times more frequent in the second period, especially in implantable cardiac defibrillators. Age (63 [53-70] vs 71 [63-76] years, P < .01), comorbidities (CCI 3.0 [2-4] vs 4.5 [3-6], P > .01), nosocomial infections (4% vs 15.9%, P = .02) and transfers from other centers (8% vs 41.6%, P < .01) were significantly more frequent in the second period, as were methicillin-resistant coagulase-negative staphylococcal (MR-CoNS) (0% vs 13.3%, P < .01) and Enterococcus spp. (0% vs 5.3%, P = .01) infections, pulmonary embolism (0% vs 10.6%, P < .01) and heart failure (12% vs 28.3%, p < .01). Second period surgery rates were lower (96% vs 87.6%, P = .09), and there were no differences in in-hospital (20% vs 11.5%, P = .11) and one-year mortalities (24% vs 15%, P = .33), or relapses (8% vs 5.3%, P = 0.65). Multivariate analysis showed Charlson index (hazard ratios [95% confidence intervals]; 1.5 [1.16-1.94]) and septic shock (23.09 [4.57-116.67]) were associated with a worse prognosis, whereas device removal (0.11 [.02-.57]), transfers (0.13 [.02-0.95]), and second-period diagnosis (0.13 [.02-.71]) were associated with better one-year outcomes. Conclusions: CIED-IE episodes increased more than four-fold during last 40 years. Despite CIED-IE involved an older population with more comorbidities, antibiotic-resistant MR-CoNS, and complex devices, one-year survival improved. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 2023 2023 2023 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/2445/195064 |
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https://hdl.handle.net/2445/195064 |
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Inglés |
| language_invalid_str_mv |
Inglés |
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Reproducció del document publicat a: https://doi.org/10.1093/ofid/ofac547 Open Forum Infectious Diseases, 2022, vol. 9, num. 11, p. 1-11 https://doi.org/10.1093/ofid/ofac547 |
| dc.rights.none.fl_str_mv |
cc-by-nc-nd (c) Hernández-Meneses, Marta et al., 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
cc-by-nc-nd (c) Hernández-Meneses, Marta et al., 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
| dc.format.none.fl_str_mv |
11 p. application/pdf |
| dc.publisher.none.fl_str_mv |
Oxford University Press |
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Oxford University Press |
| dc.source.none.fl_str_mv |
Articles publicats en revistes (Genètica, Microbiologia i Estadística) reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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