Critically ill patients with infective endocarditis, neurological complications and indication for cardiac surgery: a multicenter propensity-adjusted study Article Swipe
Alexandre Gros
,
Benjamin Séguy
,
Guillaume Bonnet
,
Yves-Olivier Guettard
,
Xavier Pillois
,
Renaud Prével
,
Arthur Orieux
,
Julien Ternacle
,
Sébastien Préau
,
Yoan Lavie‐Badie
,
Elisabeth Coupez
,
Rémi Coudroy
,
Delphine Marest
,
Raphaël P. Martins
,
Didier Gruson
,
Thomas Tourdias
,
Alexandre Boyer
,
Renaud Prével
,
Pierre Coste
,
Hikaru Fukutomi
,
Bertrand Souweine
,
Sébastien Préau
,
Saad Nseir
,
Aurélia Toussaint
,
Olivier Outteryck
,
Jean Reignier
,
R. Robert
,
Raphaël P. Martins
,
Jean Marie Urien
,
Lydie Porte
,
Guillaume Robin
,
Gaétan Charbonnier
,
Benjamine Sarton
,
Stein Silva
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s13613-023-01221-x
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s13613-023-01221-x
Background The benefit–risk balance and optimal timing of surgery for severe infective endocarditis (IE) with ischemic or hemorrhagic strokes is unknown. The study aim was to compare the neurological outcome between patients receiving surgery or not. Methods In a prospective register-based multicenter ICU study, patients were included if they met the following criteria: (i) left-sided IE with an indication for heart surgery; (ii) with cerebral complications documented by cerebral imaging before cardiac surgery; (iii) with Sequential Organ Failure Assessment score ≥ 3. Exclusion criteria were isolated right-sided IE, in-hospital acquired IE and patients with cerebral complications only after cardiac surgery. In the primary analysis, the prognostic value of surgery in term of disability at 6 month was assessed by using a propensity score-adjusted logistic regression. Results 192 patients were included including ischemic stroke (74.5%) and hemorrhagic lesion (15.6%): 67 (35%) had medical treatment and 125 (65%) cardiac surgery. In the propensity score-adjusted logistic regression, a favorable 6-month neurological outcome was associated with surgery (odds ratio 13.8 (95% CI 6.2–33.7). The 1-year mortality was strongly reduced with surgery in the fixed-effect propensity-adjusted Cox model (hazard ratio 0.18; 95% CI 0.11–0.27; p < 0.001). These effects remained whether the patients received delayed surgery ( n = 62/125) or not and whether they were deeply comatose (Glasgow Coma Scale ≤ 10) or not. Conclusions In critically ill IE patients with an indication for surgery and previous cerebral events, a better propensity-adjusted neurological outcome was associated with surgery compared with medical treatment.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s13613-023-01221-x
- https://annalsofintensivecare.springeropen.com/counter/pdf/10.1186/s13613-023-01221-x
- OA Status
- gold
- Cited By
- 7
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391486088
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4391486088Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s13613-023-01221-xDigital Object Identifier
- Title
-
Critically ill patients with infective endocarditis, neurological complications and indication for cardiac surgery: a multicenter propensity-adjusted studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-02Full publication date if available
- Authors
-
Alexandre Gros, Benjamin Séguy, Guillaume Bonnet, Yves-Olivier Guettard, Xavier Pillois, Renaud Prével, Arthur Orieux, Julien Ternacle, Sébastien Préau, Yoan Lavie‐Badie, Elisabeth Coupez, Rémi Coudroy, Delphine Marest, Raphaël P. Martins, Didier Gruson, Thomas Tourdias, Alexandre Boyer, Renaud Prével, Pierre Coste, Hikaru Fukutomi, Bertrand Souweine, Sébastien Préau, Saad Nseir, Aurélia Toussaint, Olivier Outteryck, Jean Reignier, R. Robert, Raphaël P. Martins, Jean Marie Urien, Lydie Porte, Guillaume Robin, Gaétan Charbonnier, Benjamine Sarton, Stein SilvaList of authors in order
- Landing page
-
https://doi.org/10.1186/s13613-023-01221-xPublisher landing page
- PDF URL
-
https://annalsofintensivecare.springeropen.com/counter/pdf/10.1186/s13613-023-01221-xDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
- OA URL
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https://annalsofintensivecare.springeropen.com/counter/pdf/10.1186/s13613-023-01221-xDirect OA link when available
- Concepts
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Medicine, Propensity score matching, Cardiac surgery, Glasgow Coma Scale, Infective endocarditis, Hazard ratio, Surgery, Stroke (engine), Odds ratio, Anesthesiology, Logistic regression, Internal medicine, Anesthesia, Confidence interval, Mechanical engineering, EngineeringTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2025: 4, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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27Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.score-adjusted | 123, 152 |
| abstract_inverted_index.propensity-adjusted | 181, 238 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 96 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 34 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8600000143051147 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.92893462 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |