PROGNOSTIC FACTORS AND IN-HOSPITAL OUTCOME OF NATIVE VALVE ENDOCARDITIS IN TURKEY. A MULTICENTER STUDY

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dc.contributor.authorAkil, Mehmet Ata
dc.contributor.authorAcet, Halit
dc.contributor.authorElbey, Mehmet Ali
dc.contributor.authorAydin, Mesut
dc.contributor.authorBilik, Zihni
dc.contributor.authorYildiz, Abdulkadir
dc.contributor.authorYuksel, Murat
dc.date.accessioned2024-04-24T17:49:47Z
dc.date.available2024-04-24T17:49:47Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim: To investigate the predisposing factors, demographic and clinical characteristics, echocardiographic and prognostic features, and Outcomes of patients with native valve infective endocarditis (IE) in Turkey in a multicenter based study. Materials and methods: The study population consisted Of 15,8 consecutive patients with native valve IE (NVE). Data on demographics, medical history, medications, clinical procedures, predisposing factors, clinical examination, microbiology, antibiotic therapy, echocardiography, surgery, complications, and outcome were collected and compared. Results: The mean age of the patients was 47 19 (range 13-87). Seventy seven patients (49%) Were female. Of the 158. NVE patients, 49 died during hospitalization. Mortality rate was 31%. Twenty eight patients experienced a stroke. The patients who died during hospitalization were significantly older than the survivors and had higher mean heart rate, white blood cell, C reactive protein, creatinine, poor NYHA functional etas's, multiple vegetations and large vegetations. Culture negative endocarditis was seen in 54 eases (34%). Staphylococci were the most common causative organisms (28%). Eighty patients had undergone surgical treatment (51%). Hemoglobin, presence of multiple vegetation, vegetation size. (>10 mm), septic shock and poor NYHA Class on admission were independent risks for in hospital mortality and stroke Beside these variables C. reactive Protein was also an independent risk for in hospital mortality Conclusion: Native valve IE in Turkey was associated with high in hospital mortality. Rheumatic heart disease continues to be the most common underlying heart condition and echocardiographie findings on admission were the most important independent predictors of mortality or stroke.en_US
dc.identifier.endpage1039en_US
dc.identifier.issn0393-6384
dc.identifier.issue5en_US
dc.identifier.startpage1035en_US
dc.identifier.urihttps://hdl.handle.net/11468/22950
dc.identifier.volume30en_US
dc.identifier.wosWOS:000364114800011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherCarbone Editoreen_US
dc.relation.ispartofActa Medica Mediterranea
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNative Valve Endocarditien_US
dc.subjectPrognostic Factorsen_US
dc.subjectMortalityen_US
dc.titlePROGNOSTIC FACTORS AND IN-HOSPITAL OUTCOME OF NATIVE VALVE ENDOCARDITIS IN TURKEY. A MULTICENTER STUDYen_US
dc.titlePROGNOSTIC FACTORS AND IN-HOSPITAL OUTCOME OF NATIVE VALVE ENDOCARDITIS IN TURKEY. A MULTICENTER STUDY
dc.typeArticleen_US

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