Staphylococcal early-onset prosthetic valve endocarditis: a condition bound for surgery Article Swipe
Antonio de Santis
,
Eduardo Luis Cukierkorn
,
Flávio Tarasoutchi
,
Roney Orismar Sampaio
,
Milena Ribeiro Paixão
,
Carlos Manuel de Almeida Brandão
,
Elinthon Tavares Veronese
,
Flávio Almeida
,
Tarso Augusto Duenhas Accorsi
,
Guilherme Sobreira Spina
,
Tânia Mara Varejão Strabelli
,
Rinaldo Focaccia Siciliano
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-6745890/v1
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-6745890/v1
Background: Early-onset prosthetic valve endocarditis (EO-PVE) is linked to poor in-hospital outcomes. Staphylococcus spp. poses a significant concern due to its higher mortality rates compared to other major infectious agents. Objectives: Provide a more detailed, comprehensive evaluation of the clinical characteristics and in-hospital mortality predictors related to staphylococcal EO-PVE. Methods: This observational, retrospective, single-center study was conducted at a tertiary hospital in Brazil over a 22-year period from 1997 to 2019. A total of 105 consecutive cases of left-heart staphylococcal EO-PVE were analyzed. Results: There was a predominance of coagulase-negative staphylococci prosthetic valve endocarditis (CoNS PVE) over Staphylococcus aureus prosthetic valve endocarditis (SAPVE) (76% and 24%, respectively). Prosthetic valve replacement for EO-PVE treatment was performed in 73% of cases. In-hospital mortality was 49%, with SAPVE associated with a higher in-hospital mortality than CoNS PVE (80% versus 43%, p < 0.001). In-hospital mortality predictors identified by univariate analysis included older age (p<0.001), aortic prosthetic endocarditis (p<0.001), peri-annular abscess (p=0.002), SAPVE (p<0.001), NYHA functional class III/IV (p=0.02), previous combined myocardial revascularization with valve replacement surgery (p=0.02), left ventricular dysfunction (p<0.001), leukocytosis (p=0.02), and higher C-reactive protein levels (p=0.006). In a multivariate analysis, SAPVE was found to be an independent risk factor for in-hospital mortality (odds ratio [OR] 10.2; p=0.006), while prosthetic valve replacement was associated with improved in-hospital survival (OR 0.2; p=0.04). Conclusion: Staphylococcal EO-PVE is associated with increased in-hospital mortality, particularly in SAPVE cases. In this study, all non-operated SAPVE patients died primarily due to fulminant septic shock. Prosthetic valve replacement was significantly linked to in-hospital survival, and only 5.7% of the study population survived without cardiac surgical intervention.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-6745890/v1
- OA Status
- gold
- References
- 13
- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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- DOI
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https://doi.org/10.21203/rs.3.rs-6745890/v1Digital Object Identifier
- Title
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Staphylococcal early-onset prosthetic valve endocarditis: a condition bound for surgeryWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-08-13Full publication date if available
- Authors
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Antonio de Santis, Eduardo Luis Cukierkorn, Flávio Tarasoutchi, Roney Orismar Sampaio, Milena Ribeiro Paixão, Carlos Manuel de Almeida Brandão, Elinthon Tavares Veronese, Flávio Almeida, Tarso Augusto Duenhas Accorsi, Guilherme Sobreira Spina, Tânia Mara Varejão Strabelli, Rinaldo Focaccia SicilianoList of authors in order
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https://doi.org/10.21203/rs.3.rs-6745890/v1Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.21203/rs.3.rs-6745890/v1Direct OA link when available
- Concepts
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Endocarditis, Medicine, SurgeryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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13Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| publication_date | 2025-08-13 |
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| referenced_works | https://openalex.org/W2120376546, https://openalex.org/W1920355337, https://openalex.org/W2755004981, https://openalex.org/W2460219448, https://openalex.org/W2314102137, https://openalex.org/W2071111767, https://openalex.org/W2156451821, https://openalex.org/W2990437781, https://openalex.org/W2751630023, https://openalex.org/W2127239282, https://openalex.org/W2911544019, https://openalex.org/W2789747304, https://openalex.org/W1967193477 |
| referenced_works_count | 13 |
| abstract_inverted_index.A | 72 |
| abstract_inverted_index.a | 16, 33, 59, 65, 87, 128, 188 |
| abstract_inverted_index.p | 138 |
| abstract_inverted_index.In | 187, 234 |
| abstract_inverted_index.an | 196 |
| abstract_inverted_index.at | 58 |
| abstract_inverted_index.be | 195 |
| abstract_inverted_index.by | 145 |
| abstract_inverted_index.in | 62, 116, 231 |
| abstract_inverted_index.is | 7, 224 |
| abstract_inverted_index.of | 38, 74, 78, 89, 118, 260 |
| abstract_inverted_index.to | 9, 20, 26, 47, 70, 194, 244, 254 |
| abstract_inverted_index.(OR | 218 |
| abstract_inverted_index.105 | 75 |
| abstract_inverted_index.73% | 117 |
| abstract_inverted_index.PVE | 134 |
| abstract_inverted_index.age | 150 |
| abstract_inverted_index.all | 237 |
| abstract_inverted_index.and | 42, 105, 181, 257 |
| abstract_inverted_index.due | 19, 243 |
| abstract_inverted_index.for | 111, 200 |
| abstract_inverted_index.its | 21 |
| abstract_inverted_index.the | 39, 261 |
| abstract_inverted_index.was | 56, 86, 114, 122, 192, 212, 251 |
| abstract_inverted_index.< | 139 |
| abstract_inverted_index.(76% | 104 |
| abstract_inverted_index.(80% | 135 |
| abstract_inverted_index.0.2; | 219 |
| abstract_inverted_index.1997 | 69 |
| abstract_inverted_index.24%, | 106 |
| abstract_inverted_index.43%, | 137 |
| abstract_inverted_index.49%, | 123 |
| abstract_inverted_index.5.7% | 259 |
| abstract_inverted_index.CoNS | 133 |
| abstract_inverted_index.NYHA | 161 |
| abstract_inverted_index.PVE) | 96 |
| abstract_inverted_index.[OR] | 205 |
| abstract_inverted_index.died | 241 |
| abstract_inverted_index.from | 68 |
| abstract_inverted_index.left | 175 |
| abstract_inverted_index.more | 34 |
| abstract_inverted_index.only | 258 |
| abstract_inverted_index.over | 64, 97 |
| abstract_inverted_index.poor | 10 |
| abstract_inverted_index.risk | 198 |
| abstract_inverted_index.spp. | 14 |
| abstract_inverted_index.than | 132 |
| abstract_inverted_index.this | 235 |
| abstract_inverted_index.were | 82 |
| abstract_inverted_index.with | 124, 127, 170, 214, 226 |
| abstract_inverted_index.(CoNS | 95 |
| abstract_inverted_index.(odds | 203 |
| abstract_inverted_index.10.2; | 206 |
| abstract_inverted_index.2019. | 71 |
| abstract_inverted_index.SAPVE | 125, 159, 191, 232, 239 |
| abstract_inverted_index.cases | 77 |
| abstract_inverted_index.class | 163 |
| abstract_inverted_index.found | 193 |
| abstract_inverted_index.major | 28 |
| abstract_inverted_index.older | 149 |
| abstract_inverted_index.other | 27 |
| abstract_inverted_index.poses | 15 |
| abstract_inverted_index.rates | 24 |
| abstract_inverted_index.ratio | 204 |
| abstract_inverted_index.study | 55, 262 |
| abstract_inverted_index.total | 73 |
| abstract_inverted_index.valve | 4, 93, 101, 109, 171, 210, 249 |
| abstract_inverted_index.while | 208 |
| abstract_inverted_index.Brazil | 63 |
| abstract_inverted_index.EO-PVE | 81, 112, 223 |
| abstract_inverted_index.III/IV | 164 |
| abstract_inverted_index.aortic | 152 |
| abstract_inverted_index.aureus | 99 |
| abstract_inverted_index.cases. | 119, 233 |
| abstract_inverted_index.factor | 199 |
| abstract_inverted_index.higher | 22, 129, 182 |
| abstract_inverted_index.levels | 185 |
| abstract_inverted_index.linked | 8, 253 |
| abstract_inverted_index.period | 67 |
| abstract_inverted_index.septic | 246 |
| abstract_inverted_index.shock. | 247 |
| abstract_inverted_index.study, | 236 |
| abstract_inverted_index.versus | 136 |
| abstract_inverted_index.(SAPVE) | 103 |
| abstract_inverted_index.0.001). | 140 |
| abstract_inverted_index.22-year | 66 |
| abstract_inverted_index.EO-PVE. | 49 |
| abstract_inverted_index.abscess | 157 |
| abstract_inverted_index.agents. | 30 |
| abstract_inverted_index.cardiac | 266 |
| abstract_inverted_index.concern | 18 |
| abstract_inverted_index.protein | 184 |
| abstract_inverted_index.related | 46 |
| abstract_inverted_index.surgery | 173 |
| abstract_inverted_index.without | 265 |
| abstract_inverted_index.(EO-PVE) | 6 |
| abstract_inverted_index.analysis | 147 |
| abstract_inverted_index.clinical | 40 |
| abstract_inverted_index.combined | 167 |
| abstract_inverted_index.compared | 25 |
| abstract_inverted_index.hospital | 61 |
| abstract_inverted_index.improved | 215 |
| abstract_inverted_index.included | 148 |
| abstract_inverted_index.p=0.04). | 220 |
| abstract_inverted_index.patients | 240 |
| abstract_inverted_index.previous | 166 |
| abstract_inverted_index.surgical | 267 |
| abstract_inverted_index.survival | 217 |
| abstract_inverted_index.survived | 264 |
| abstract_inverted_index.tertiary | 60 |
| abstract_inverted_index.(p=0.02), | 165, 174, 180 |
| abstract_inverted_index.analysis, | 190 |
| abstract_inverted_index.analyzed. | 83 |
| abstract_inverted_index.conducted | 57 |
| abstract_inverted_index.detailed, | 35 |
| abstract_inverted_index.fulminant | 245 |
| abstract_inverted_index.increased | 227 |
| abstract_inverted_index.mortality | 23, 44, 121, 131, 142, 202 |
| abstract_inverted_index.outcomes. | 12 |
| abstract_inverted_index.p=0.006), | 207 |
| abstract_inverted_index.performed | 115 |
| abstract_inverted_index.primarily | 242 |
| abstract_inverted_index.survival, | 256 |
| abstract_inverted_index.treatment | 113 |
| abstract_inverted_index.(p=0.002), | 158 |
| abstract_inverted_index.(p=0.006). | 186 |
| abstract_inverted_index.C-reactive | 183 |
| abstract_inverted_index.Prosthetic | 108, 248 |
| abstract_inverted_index.associated | 126, 213, 225 |
| abstract_inverted_index.evaluation | 37 |
| abstract_inverted_index.functional | 162 |
| abstract_inverted_index.identified | 144 |
| abstract_inverted_index.infectious | 29 |
| abstract_inverted_index.left-heart | 79 |
| abstract_inverted_index.mortality, | 229 |
| abstract_inverted_index.myocardial | 168 |
| abstract_inverted_index.population | 263 |
| abstract_inverted_index.predictors | 45, 143 |
| abstract_inverted_index.prosthetic | 3, 92, 100, 153, 209 |
| abstract_inverted_index.univariate | 146 |
| abstract_inverted_index.</bold>This | 51 |
| abstract_inverted_index.In-hospital | 120, 141 |
| abstract_inverted_index.consecutive | 76 |
| abstract_inverted_index.dysfunction | 177 |
| abstract_inverted_index.in-hospital | 11, 43, 130, 201, 216, 228, 255 |
| abstract_inverted_index.independent | 197 |
| abstract_inverted_index.replacement | 110, 172, 211, 250 |
| abstract_inverted_index.significant | 17 |
| abstract_inverted_index.ventricular | 176 |
| abstract_inverted_index.</bold>There | 85 |
| abstract_inverted_index.endocarditis | 5, 94, 102, 154 |
| abstract_inverted_index.leukocytosis | 179 |
| abstract_inverted_index.multivariate | 189 |
| abstract_inverted_index.non-operated | 238 |
| abstract_inverted_index.particularly | 230 |
| abstract_inverted_index.peri-annular | 156 |
| abstract_inverted_index.predominance | 88 |
| abstract_inverted_index.(p<0.001), | 151, 155, 160, 178 |
| abstract_inverted_index.comprehensive | 36 |
| abstract_inverted_index.intervention. | 268 |
| abstract_inverted_index.significantly | 252 |
| abstract_inverted_index.single-center | 54 |
| abstract_inverted_index.staphylococci | 91 |
| abstract_inverted_index.</bold>Provide | 32 |
| abstract_inverted_index.<bold>Methods: | 50 |
| abstract_inverted_index.<bold>Results: | 84 |
| abstract_inverted_index.Staphylococcal | 222 |
| abstract_inverted_index.Staphylococcus | 13, 98 |
| abstract_inverted_index.observational, | 52 |
| abstract_inverted_index.respectively). | 107 |
| abstract_inverted_index.retrospective, | 53 |
| abstract_inverted_index.staphylococcal | 48, 80 |
| abstract_inverted_index.characteristics | 41 |
| abstract_inverted_index.<bold>Background: | 1 |
| abstract_inverted_index.<bold>Objectives: | 31 |
| abstract_inverted_index.revascularization | 169 |
| abstract_inverted_index.</bold>Early-onset | 2 |
| abstract_inverted_index.coagulase-negative | 90 |
| abstract_inverted_index.<title>Abstract</title> | 0 |
| abstract_inverted_index.<bold>Conclusion</bold>: | 221 |
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| institutions_distinct_count | 12 |
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| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |