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Description

San Roman et al developed a prognostic score for a patient with left sided infective endocarditis. This can help to identify a patient who may benefit from more aggressive management. The authors are from multiple hospitals in Spain and Argentina.


 

Patient selection: left-sided endocarditis

 

Outcome: death or urgent surgery (performed prior to adequate preoperative antibiotic therapy)

 

Parameters identified during the first 72 hours after admission:

(1) heart failure

(2) organism

(3) perivalvular complications (abscess, pseudoaneurysm, fistula)

 

Parameter

Finding

Points

heart failure

absent

0

 

present

1

organism

Staphylococcus aureus

1

 

other

0

perivalvular complication

absent

0

 

present

1

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 3

• The higher the score the greater the risk for one of the outcomes.

Score

Risk of Adverse Outcome

0

30%

1

60%

2

82-85%

3

100%

 


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