About: Elderly versus non-elderly patients undergoing surgery for left-sided native valve infective endocarditis: A 10-year institutional experience

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Elderly versus non-elderly patients undergoing surgery for left-sided native valve infective endocarditis: A 10-year institutional experience
Creator	Han, Yi Lin, Chun-Yu Lee, Hsiu-An Li, Han-Yan Lu, Cheng-Hui »more»
source	PMC
abstract	This retrospective study aimed to clarify the short- and mid-term outcomes of elderly patients who underwent surgery to treat left-sided native valve infective endocarditis (LSNIE). Between July 2005 and September 2015, 179 patients underwent surgical treatment for active LSNIE at a single institution. Patients were classified into two groups: ≥65 years (elderly group) and <65 years (non-elderly group). Clinical features, surgical information, postoperative complications, and three-year survival rates were compared. The average ages were 74.2 ± 6.4 and 45.2 ± 12.6 years in the elderly and non-elderly groups, respectively. The elderly group had a higher predicted mortality rate and a lower incidence of preoperative septic emboli-related complications. Echocardiographic assessments of infected valves were generally homogenous between the groups. The elderly patients had a higher in-hospital mortality rate than the non-elderly patients (26.3% vs. 5.7%, P = 0.001). For patients who survived to discharge, the three-year cumulative survival rates were 75.0% ± 8.2% and 81.2% ± 3.4% in the elderly and non-elderly groups, respectively (P = 0.484). In conclusion, elderly patients are at a higher risk of in-hospital mortality after surgery for LSNIE. However, once elderly patients are stabilized by surgical treatment and survive to discharge, the mid-term outcomes are promising.
has issue date	2020-02-14(xsd:dateTime)
bibo:doi	10.1038/s41598-020-59657-1
bibo:pmid	32060394
has license	cc-by
sha1sum (hex)	bad03cee3f0e605ebc97e933e14a13bf289ea3c8
schema:url	https://doi.org/10.1038/s41598-020-59657-1
resource representing a document's title	Elderly versus non-elderly patients undergoing surgery for left-sided native valve infective endocarditis: A 10-year institutional experience
has PubMed Central identifier	PMC7021775
has PubMed identifier	32060394
schema:publication	Sci Rep
resource representing a document's body	covid:bad03cee3f0e605ebc97e933e14a13bf289ea3c8#body_text
is schema:about of	named entity 'survived' named entity 'However' named entity 'average' named entity 'features' named entity 'DISCHARGE' »more»

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