Author + information
- Sami Aljohani,
- Fahad Alqahtani,
- Ahmed Almustafa,
- Allison Lastinger,
- Ashwin Bhirud,
- MohammadAkram Kawsara,
- Chalak Berzingi,
- Sameer Raina and
- Mohamad Alkhouli
Background: The role of surgery in active IE has expanded progressively since early reports of successful outcome. We sought to examine the trend and outcome of IE treated with surgical valvular replacement utilizing a nationwide representative database.
Methods: Using the Nationwide Inpatient Sample 2004-2013 and ICD-9 Codes, we identified patients with primary diagnosis of acute endocarditis who underwent surgical valvular replacement between 2004-2013. Trend analysis for complications, in-hospital mortality, length of stay, total charges and disposition were performed.
Results: 9,198 patients with acute IE had valve replacement surgery during the study period. There was a significant increase in the number of valve replacement surgeries for IE from 782 in 2004 to 1141 in 2013, showing an upward trend (p= 0.001). Despite the increasing experience and utilization, inpatient mortality following valve replacement for IE did not improve overtime. Hospital length of stay decreased over the study period mainly for MVR (27±23 to 23±17), but was counterbalanced by a significant increase in the utilization of post-discharge intermediate care facilities.
Conclusions: Utilization of valve replacement surgery in patients with IE increased by >50% between 2004-2013, Showing an upward trend over the study period. However, in-hospital mortality remained high in these patients. Further studies are needed to investigate factors predictive of adverse outcomes and develop strategies to address these factors.
Poster Hall, Hall C
Friday, March 17, 2017, 10:00 a.m.-10:45 a.m.
Session Title: Valvular Heart Disease: Endocarditis
Abstract Category: 36. Valvular Heart Disease: Clinical
Presentation Number: 1103-027
- 2017 American College of Cardiology Foundation