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Table 1 Comparison of baseline characteristics of patients

From: Critically ill patients with infective endocarditis, neurological complications and indication for cardiac surgery: a multicenter propensity-adjusted study

 

Unmatched cohort (n = 192)

Propensity matched cohort (n = 92)

N

Cardiac surgery, n = 125

N

No surgery, n = 67

p

N

Cardiac surgery, n = 44

N

No surgery, n = 44

p

Age*, yr median (IQR)

125

62 (48–67)

67

65 (50–73.5)

0,10

44

65 (16.5)

44

64.5 (22)

0.56

Male*, n (%)

125

89 (71.2%)

67

44 (65.7%)

0,43

44

29 (65.9%)

44

28 (63.6%)

1.0

Preexisting medical conditions, n (%)

 Diabetes mellitus, n (%)

125

34 (27.2%)

67

17 (25.4%)

0,78

44

16 (36.4%)

44

10 (22.7%)

0,24

 Chronic kidney disease, n (%)

125

48 (38.4%)

67

28 (41.8%)

0,65

44

12 (27.2%)

44

8 (18.2%)

0.52

 Immunosuppression, n (%)

125

10 (8%)

67

11 (16.4%)

0,07

44

5 (11.4%)

44

6 (13.6%)

0,12

 Valve prosthesis*, n (%)

125

26 (20.8%)

67

24 (35.8%)

0,02

44

13 (29.5%)

44

11 (25.0%)

0,81

Bacteriological characteristics, n (%)

 Positive blood cultures, n (%)

125

116 (92.8%)

67

58 (86.6%)

0,16

44

42 (95.5%)

44

38 (86.4%)

0,43

 Positive valve culture, n (%)

101

35 (34.7%)

67

33

19 (51.4%)

0

 Isolated bacterial specie

125

 

67

 

0.39

44

 

44

 

0.20

Staphylococcus sp.

 

67 (53.6%)

 

37 (55.2%)

  

20 (48.8%)

 

22 (59.5%)

0.20

  - MSSA

 

57 (45.6%)

 

30 (44.8%)

  

18 (43.9%)

 

20 (54.1%)

 

  - MRSA

 

5 (4%)

 

4 (6%)

  

2 (4.9%)

 

2 (5.4%)

 

  - Others

 

5 (4%)

 

3 (4.5%)

  

1 (2.4%)

 

1 (2.7%)

 

 Streptococcus sp.

 

32 (26%)

 

10 (15%)

  

10 (24.4%)

 

5 (13.5%)

 

 Enterobacterales

 

10 (8%)

 

9 (13.4%)

  

4 (9.5%)

 

6 (15.8%)

 

 Others (Enterococcus sp., …)

 

14 (11.2%)

 

4 (6%)

  

4 (9.8%)

 

4 (10.8%)

 

 Health-care acquired endocarditis, n (%)

125

25 (20%)

67

20 (29.9%)

0.12

44

13 (29.5%)

44

14 (31.8%)

1.00

Valve damage

 Valve damage, n (%)*

125

 

67

 

0.74

44

 

44

 

0.50

  - Mitral and aortic

24 (19%)

16 (24%)

9 (20.5%)

5 (11.4%)

  - Mitral

45 (36%)

22 (33%)

16 (36.4%)

17 (38.6%)

  - Aortic

56 (45%)

29 (43%)

19 (43.2%)

22 (50.0%)

Medical condition at admission to ICU

 EuroSCORE mean ± SD

125

17 ± 17

67

25 ± 18

0.003

44

20 ± 20

44

21.5 ± 17

0.74

 SOFA score*, median (IQR)

125

6 (4–9)

67

9 (6–13)

 < 0.001

44

6 (6)

44

7.5 (7)

0.24

 LVEF %, mean ± SD

125

58 ± 10

67

52 ± 13

0.001

44

58 ± 8

44

54 ± 13

0.07

 Lowest Glasgow score, median (IQR)

125

14 (13–15)

67

11 (6–14)

 < 0.001

44

14 (2.5)

44

11.5 (6.2)

0.03

 Glasgow < 10, n (%)

125

21 (17%)

67

29 (43%)

 < 0.001

44

17 (39%)

44

9 (21%)

0.07

 Killip score, median (IQR)

114

2 (1–3)

63

2 (1–2.5)

0.32

41

1 (2)

44

2 (2)

0.78

 Septic shock*, n (%)

125

28 (22.4%)

67

31 (46.3%)

0.001

44

16 (36.4%)

44

19 (43.2%)

0.66

 Cardiogenic shock, n (%)

125

20 (16%)

67

14 (20.9%)

0.40

44

7 (15.9%)

44

11 (25%)

0.43

Extra neurological localizations, n (%)

 Extra cerebral localization

125

110 (88%)

67

66 (98.5%)

0,01

44

44 (100%)

44

44 (100%)

1.0

Primary antimicrobial therapy, n (%)

 Adequate, n (%)

117

112 (95.7%)

58

57 (98.3%)

0,38

41

38 (93%)

38

37 (97%)

0.61

 Aminoglycoside, n (%)

125

105 (84%)

66

55 (83.3%)

0,90

44

35 (79%)

43

37 (86%)

0.60

  1. MSSA methicillin-susceptible Staphylococcus aureus, MRSA methicillin-resistant Staphylococcus aureus, LVEF left ventricular ejection fraction
  2. *These variables were included in the propensity score
  3. **Pacemaker-associated endocarditis had multiple valve lesions including left-sided endocarditis and pacemaker endocarditis