感染性心内膜炎的特征

Friedrich Dueñas-García, John A. Conta-López, Ricardo A. Quintero-Farías, J. M. Ospina-Díaz, L. Vargas-Rodríguez
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引用次数: 0

摘要

目的:对2017 - 2019年发生的感染性心内膜炎病例进行描述。材料与方法:横断面、回顾性研究;基于对某大学医院档案的系统和选择性检索。以编码ICD为中心纳入标准;进行了包括心脏科在内的搜索。获得168份医疗记录,对修改后的DUKE诊断心内膜炎标准进行评价;共获得21例患者。结果:死亡率高(52.4%),以牺牲急性型为主(OR = 3.12);最常见的合并症是动脉高血压(OR = 1.95)、呼吸衰竭(OR = 2.5)和感染性休克(OR = 2.43);在诊断中,最重要的辅助手段似乎是降钙素原、c反应蛋白和超声心动图。结论:发现致死率高。感染性心内膜炎最常见于50至60岁的男性;已知的主要危险因素为血液透析、软组织感染和免疫抑制;
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Characterization of infective endocarditis
Objective: To make a description of the cases of infective endocarditis that occurred between 2017 and 2019. Materials and method: Cross-sectional, retrospective study; based on a systematic and selective search in the archives of a University Hospital. Having as central inclusion criterion the codes ICD; a search was carried out including the cardiology unit. 168 medical records were obtained and the modified DUKE criteria for the diagnosis of endocarditis were evaluated; 21 patients were obtained. Results: High mortality (52.4%), the majority at the expense of the acute forms (OR = 3.12); the most frequently associated comorbidities were arterial hypertension (OR = 1.95), respiratory failure (OR = 2.5) and septic shock (OR = 2.43); In diagnosis, the most significant aids seem to be procalcitonin, C-reactive protein and echocardiography. Conclusion : It was found a high rate of lethality. Infective endocarditis was found to most frequently affect men between the ages of 50 and 60; the main recognized risk factors were hemodialysis, soft tissue infection and immunosuppression;
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来源期刊
Revista Colombiana de Cardiologia
Revista Colombiana de Cardiologia Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.50
自引率
0.00%
发文量
90
审稿时长
80 weeks
期刊介绍: The Colombian Cardiology Review is an official publication of the Colombian Cardiology and Cardiovascular Surgery Society, emitted bimonthly. Its uninterrupted circulation was initiated in 1985. The main objective of the review is the publication of the scientific, investigative, academic and administrative activities of the society members, of the medical professionals or of those connected with the health sector, nationals or foreigners, that may be working in the Cardiology field or related sciences.
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