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Title: Epidemiology of infective endocarditis in a large Belgian non-referral hospital
Authors: Poesen, Koen ×
Pottel, Hans
Colaert, Johan
Niel, Chris De #
Issue Date: Jun-2014
Publisher: Acta clinica belgica
Series Title: Acta Clinica Belgica vol:69 issue:3 pages:183-90
Abstract: Objectives: Guidelines for diagnosis of infective endocarditis are largely based upon epidemiological studies in referral hospitals. Referral bias, however, might impair the validity of guidelines in non-referral hospitals. Recent studies in non-referral care centres on infective endocarditis are sparse. We conducted a retrospective epidemiological study on infective endocarditis in a large non-referral hospital in a Belgian city (Kortrijk). Methods: The medical record system was searched for all cases tagged with a putative diagnosis of infective endocarditis in the period 2003-2010. The cases that fulfilled the modified Duke criteria for probable or definite infective endocarditis were included. Results: Compared to referral centres, an older population with infective endocarditis, and fewer predisposing cardiac factors and catheter-related infective endocarditis is seen in our population. Our patients have fewer prosthetic valve endocarditis as well as fewer staphylococcal endocarditis. Our patients undergo less surgery, although mortality rate seems to be highly comparable with referral centres, with nosocomial infective endocarditis as an independent predictor of mortality. Conclusion: The present study suggests that characteristics of infective endocarditis as well as associative factors might differ among non-referral hospitals and referral hospitals.
URI: 
ISSN: 1784-3286
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Public Health and Primary Care, Campus Kulak Kortrijk
Laboratory for Molecular Neurobiomarker Research
Department of Health and Technology - UC Leuven
Medicine Teaching Programs
× corresponding author
# (joint) last author

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