Trend in Infective Endocarditis in Bulgaria: Characteristics and Outcome, 17-Years, Single Center Experience Article Swipe
Bistra Dobreva-Yatseva
,
Fedya Nikolov
,
Ralitsa Raycheva
,
Petar Uchikov
,
Mariya Tokmakova
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/microorganisms12081631
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/microorganisms12081631
Background: Infective endocarditis (IE) remains a difficult disease to diagnose and treat, with a persistently high mortality rate. There is a lack of recent data on IE in Bulgaria over the last decades. Methods: This study is retrospective, single-centered, and includes 270 patients diagnosed with IE for the period 2005–2021. We compared two periods, 2005–2015 (n = 119) and 2016–2021 (n = 151), to find the characteristics changes. Results: The study included 177 (65.5%) male patients. In the second period, there is a significant increase in age from 62 (44–73) to 67 (53–75), (p = 0.023); in the Charlson comorbidities index (CCI) from 3 (1–4) to 4 (2–6), (p = 0.000); in cases with chronic kidney diseases (CKDs) from 15 (12.6%) to 55 (36.9%), (p = 0.001); coronary arterial diseases (CADs) from 20 (16.85%) to 44 (29.1%), (p = 0.018); and atrial fibrillation (AF) from 13 (10.9%) to 36 (23.8%), (p = 0.006). Ejection fraction decreased significantly in the second period from 63 (56–70) to 59 (51–66), (p = 0.000). Almost half of the patients 123 (45.6%) had no known predisposing cardiac condition, and 125 (46.3%) had an unknown port of entry. IE was community-acquired in 174 (64.4%), healthcare-associated in 72 (26.7%), and injection-drug-use-related IE in 24 (8.9%). The study population included 183 (67.8%) native valve IE, 85 (31.5%) prosthetic IE, and 2 (0.74%) intracardiac-device-related IE. The hemocultures were positive in 159 (59.6%), and the most frequent pathogenic agent was staphylococci—89 (33.3%) (Staphylococcus aureus—44 (16.5%) and coagulase negative staphylococci—45 (16.8%)). Only 54 (20%) of patients underwent early surgery. The all-cause 30-day mortality rate was 67 (24.8%). There is no significant difference between the two periods in terms of the characteristics listed above. Conclusions: The profile of IE in Bulgaria has changed with increasing age and comorbidity, changing predisposing cardiac conditions, and entry door. The most common pathogen was the Staphylococcus spp. The 30-day mortality rate remains high.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/microorganisms12081631
- OA Status
- gold
- References
- 43
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
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https://openalex.org/W4401519360Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/microorganisms12081631Digital Object Identifier
- Title
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Trend in Infective Endocarditis in Bulgaria: Characteristics and Outcome, 17-Years, Single Center ExperienceWork title
- Type
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articleOpenAlex work type
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enPrimary language
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2024Year of publication
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2024-08-09Full publication date if available
- Authors
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Bistra Dobreva-Yatseva, Fedya Nikolov, Ralitsa Raycheva, Petar Uchikov, Mariya TokmakovaList of authors in order
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https://doi.org/10.3390/microorganisms12081631Publisher landing page
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goldOpen access status per OpenAlex
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https://doi.org/10.3390/microorganisms12081631Direct OA link when available
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Medicine, Infective endocarditis, Internal medicine, Single Center, Atrial fibrillation, Retrospective cohort study, Population, Cardiology, Ejection fraction, Surgery, Heart failure, Environmental healthTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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| abstract_inverted_index.59 | 165 |
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| abstract_inverted_index.67 | 91, 264 |
| abstract_inverted_index.72 | 200 |
| abstract_inverted_index.85 | 217 |
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| abstract_inverted_index.(31.5%) | 218 |
| abstract_inverted_index.(33.3%) | 241 |
| abstract_inverted_index.(45.6%) | 176 |
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| abstract_inverted_index.(65.5%) | 73 |
| abstract_inverted_index.(67.8%) | 213 |
| abstract_inverted_index.(8.9%). | 207 |
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| abstract_inverted_index.(24.8%). | 265 |
| abstract_inverted_index.(26.7%), | 201 |
| abstract_inverted_index.(29.1%), | 136 |
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| abstract_inverted_index.(36.9%), | 123 |
| abstract_inverted_index.(59.6%), | 232 |
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| abstract_inverted_index.Ejection | 153 |
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| abstract_inverted_index.diseases | 116, 129 |
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