Preoperative Risk Assessment Tools Compared to Actual Survival for Infective Endocarditis Patients Undergoing Cardiac Surgery Depending on Blood Culture Status

Activity: Talk or presentation types › Oral presentation

Description

Considering the destructive pattern of infective endocarditis (IE) a surgical intervention is the only life-saving option in many cases. In this study, we aimed to investigate whether preoperative risk evaluation scores such as POTTER, EUROSCORE II and SOFA, can accurately predict the actual survival rate for patients with blood culture negative endocarditis (BCNE) and blood culture positive endocarditis (BCPE) undergoing cardiac surgery.. Retrospective single-center study included medical records of 57 patients who underwent cardiac surgery for IE from 2015 to 2019 in Pauls Stradiņš Clinical University Hospital. Patients were divided into two groups - BCNE and BCPE, and evaluated using POTTER and EUROSCORE II scoring systems preoperatively and postoperatively in the last day intensive care unit (ICU) stay. SOFA scoring was used to analyze the mortality among these patients. Data were collected with Microsoft Excel program and descriptive statistical analysis were made with SPSS Statistics.. The study included 39 BCPE and 18 BCNE patients, with an average age of 55 (SD±15).  The data showed a statistically significant positive relationship between POTTER score (%) 30 day mortality and EUROSCORE II (rs(39) = 0.652, p < 0.01) in the BCPE group. In BCNE a significant relationship between the mentioned variables was not found. In BCPE group comparing POTTER score 30-day mortality there was statistical significance with actual mortality, but, when EURSOCRE II was assessed, it showed no predictive differences between BCNE and BCPE groups. In both BCPE and BCNE groups POTTER (any complication %) score correlates with organ failure in ICU. POTTER, which is used as an emergency surgery (ES) machine learning 30-day mortality predictor score, showed to be a reliable tool, especially for BCPE patients corresponding to an emergency surgery status in cardiac surgery patients.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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