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Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China
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| Zeitschriftentitel: | Journal of International Medical Research |
|---|---|
| Personen und Körperschaften: | , , , , |
| In: | Journal of International Medical Research, 48, 2020, 7, S. 030006052094043 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
SAGE Publications
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| Schlagwörter: |
| author_facet |
Zhang, Wei Ju, Ping Liu, Xuemei Zhou, Haiyan Xue, Feng Zhang, Wei Ju, Ping Liu, Xuemei Zhou, Haiyan Xue, Feng |
|---|---|
| author |
Zhang, Wei Ju, Ping Liu, Xuemei Zhou, Haiyan Xue, Feng |
| spellingShingle |
Zhang, Wei Ju, Ping Liu, Xuemei Zhou, Haiyan Xue, Feng Journal of International Medical Research Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China Biochemistry (medical) Cell Biology Biochemistry General Medicine |
| author_sort |
zhang, wei |
| spelling |
Zhang, Wei Ju, Ping Liu, Xuemei Zhou, Haiyan Xue, Feng 0300-0605 1473-2300 SAGE Publications Biochemistry (medical) Cell Biology Biochemistry General Medicine http://dx.doi.org/10.1177/0300060520940435 <jats:sec><jats:title>Objective</jats:title><jats:p> To clarify differences in clinical characteristics and outcomes between patients with infective endocarditis (IE) receiving long-term haemodialysis (HD group) and those not receiving haemodialysis (non-HD group). </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Medical records of patients with IE, admitted to hospital between January 2010 and December 2017, were retrospectively studied. Clinical characteristics and outcomes were compared between HD and non-HD groups. Risk factors for IE were assessed by COX regression. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Twenty-one HD and 143 non-HD patients were included. Predisposing heart conditions were more frequently observed in the non-HD versus HD group (90.9% versus 19.0%). Inappropriate antibiotic therapy rate before admission and proportion of methicillin-resistant Staphylococcus aureus and Enterococcus-associated IE was higher in the HD versus non-HD group. In the HD group, fewer patients underwent heart surgery (9.5% versus 51.7%), all-cause in-hospital mortality was higher (52.4% versus 21%), and survival rate was lower versus the non-HD group. COX regression analysis revealed that haemodialysis, use of central venous catheter (CVC) and inappropriate antibiotic therapy before admission increased IE mortality, while surgery improved long-term prognosis. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> Haemodialysis patients with IE may have higher mortality and lower survival rates than patients with IE not receiving haemodialysis. Haemodialysis, use of CVC and inappropriate antibiotic therapy before admission may increase IE mortality. Surgery may improve long-term prognosis. </jats:p></jats:sec> Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China Journal of International Medical Research |
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| title |
Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_unstemmed |
Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_full |
Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_fullStr |
Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_full_unstemmed |
Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_short |
Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_sort |
comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in china |
| topic |
Biochemistry (medical) Cell Biology Biochemistry General Medicine |
| url |
http://dx.doi.org/10.1177/0300060520940435 |
| publishDate |
2020 |
| physical |
030006052094043 |
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<jats:sec><jats:title>Objective</jats:title><jats:p> To clarify differences in clinical characteristics and outcomes between patients with infective endocarditis (IE) receiving long-term haemodialysis (HD group) and those not receiving haemodialysis (non-HD group). </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Medical records of patients with IE, admitted to hospital between January 2010 and December 2017, were retrospectively studied. Clinical characteristics and outcomes were compared between HD and non-HD groups. Risk factors for IE were assessed by COX regression. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Twenty-one HD and 143 non-HD patients were included. Predisposing heart conditions were more frequently observed in the non-HD versus HD group (90.9% versus 19.0%). Inappropriate antibiotic therapy rate before admission and proportion of methicillin-resistant Staphylococcus aureus and Enterococcus-associated IE was higher in the HD versus non-HD group. In the HD group, fewer patients underwent heart surgery (9.5% versus 51.7%), all-cause in-hospital mortality was higher (52.4% versus 21%), and survival rate was lower versus the non-HD group. COX regression analysis revealed that haemodialysis, use of central venous catheter (CVC) and inappropriate antibiotic therapy before admission increased IE mortality, while surgery improved long-term prognosis. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> Haemodialysis patients with IE may have higher mortality and lower survival rates than patients with IE not receiving haemodialysis. Haemodialysis, use of CVC and inappropriate antibiotic therapy before admission may increase IE mortality. Surgery may improve long-term prognosis. </jats:p></jats:sec> |
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| author | Zhang, Wei, Ju, Ping, Liu, Xuemei, Zhou, Haiyan, Xue, Feng |
| author_facet | Zhang, Wei, Ju, Ping, Liu, Xuemei, Zhou, Haiyan, Xue, Feng, Zhang, Wei, Ju, Ping, Liu, Xuemei, Zhou, Haiyan, Xue, Feng |
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| description | <jats:sec><jats:title>Objective</jats:title><jats:p> To clarify differences in clinical characteristics and outcomes between patients with infective endocarditis (IE) receiving long-term haemodialysis (HD group) and those not receiving haemodialysis (non-HD group). </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Medical records of patients with IE, admitted to hospital between January 2010 and December 2017, were retrospectively studied. Clinical characteristics and outcomes were compared between HD and non-HD groups. Risk factors for IE were assessed by COX regression. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Twenty-one HD and 143 non-HD patients were included. Predisposing heart conditions were more frequently observed in the non-HD versus HD group (90.9% versus 19.0%). Inappropriate antibiotic therapy rate before admission and proportion of methicillin-resistant Staphylococcus aureus and Enterococcus-associated IE was higher in the HD versus non-HD group. In the HD group, fewer patients underwent heart surgery (9.5% versus 51.7%), all-cause in-hospital mortality was higher (52.4% versus 21%), and survival rate was lower versus the non-HD group. COX regression analysis revealed that haemodialysis, use of central venous catheter (CVC) and inappropriate antibiotic therapy before admission increased IE mortality, while surgery improved long-term prognosis. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> Haemodialysis patients with IE may have higher mortality and lower survival rates than patients with IE not receiving haemodialysis. Haemodialysis, use of CVC and inappropriate antibiotic therapy before admission may increase IE mortality. Surgery may improve long-term prognosis. </jats:p></jats:sec> |
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| spelling | Zhang, Wei Ju, Ping Liu, Xuemei Zhou, Haiyan Xue, Feng 0300-0605 1473-2300 SAGE Publications Biochemistry (medical) Cell Biology Biochemistry General Medicine http://dx.doi.org/10.1177/0300060520940435 <jats:sec><jats:title>Objective</jats:title><jats:p> To clarify differences in clinical characteristics and outcomes between patients with infective endocarditis (IE) receiving long-term haemodialysis (HD group) and those not receiving haemodialysis (non-HD group). </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Medical records of patients with IE, admitted to hospital between January 2010 and December 2017, were retrospectively studied. Clinical characteristics and outcomes were compared between HD and non-HD groups. Risk factors for IE were assessed by COX regression. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Twenty-one HD and 143 non-HD patients were included. Predisposing heart conditions were more frequently observed in the non-HD versus HD group (90.9% versus 19.0%). Inappropriate antibiotic therapy rate before admission and proportion of methicillin-resistant Staphylococcus aureus and Enterococcus-associated IE was higher in the HD versus non-HD group. In the HD group, fewer patients underwent heart surgery (9.5% versus 51.7%), all-cause in-hospital mortality was higher (52.4% versus 21%), and survival rate was lower versus the non-HD group. COX regression analysis revealed that haemodialysis, use of central venous catheter (CVC) and inappropriate antibiotic therapy before admission increased IE mortality, while surgery improved long-term prognosis. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> Haemodialysis patients with IE may have higher mortality and lower survival rates than patients with IE not receiving haemodialysis. Haemodialysis, use of CVC and inappropriate antibiotic therapy before admission may increase IE mortality. Surgery may improve long-term prognosis. </jats:p></jats:sec> Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China Journal of International Medical Research |
| spellingShingle | Zhang, Wei, Ju, Ping, Liu, Xuemei, Zhou, Haiyan, Xue, Feng, Journal of International Medical Research, Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China, Biochemistry (medical), Cell Biology, Biochemistry, General Medicine |
| title | Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_full | Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_fullStr | Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_full_unstemmed | Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_short | Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| title_sort | comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in china |
| title_unstemmed | Comparison of clinical characteristics and outcomes of infective endocarditis between haemodialysis and non-haemodialysis patients in China |
| topic | Biochemistry (medical), Cell Biology, Biochemistry, General Medicine |
| url | http://dx.doi.org/10.1177/0300060520940435 |