web analytics

Description

Revilla et al identified risk factors for mortality following urgent surgery for infective endocarditis. These can help to identify patients who may require more aggressive management. The authors are from Hospital Clinico Universitario in Valladolid, Hospital Clinico San Carlos in Madrid and Hospital Rio Hortega in Valladolid, Spain.


 

Patient selection: infectious endocarditis following urgent surgery

 

Outcome: in-hospital mortality

 

Risk factors identified on multivariate analysis:

(1) heart failure on admission

(2) renal failure

(3) persistent infection after surgery

 

X =

= (1.068 if renal failure present) + (1.254 if infection persistent) – (0.111 if heart failure present) – 1.399

 

probability of in-hospital mortality =

= 1 / (1 + EXP((-1) *X))

 

Additional factors from the univariate analysis:

(1) septic shock

(2) thrombocytopenia

(3) anemia

(4) hepatic dysfunction (elevated SGPT)

(5) marked leukocytosis

 

Some of the risk factors reflect onset of multi-organ failure.

 


To read more or access our algorithms and calculators, please log in or register.