Correction to: Short- and long-term outcomes in infective endocarditis patients: a systematic review and meta-analysis

Abegaz, Tadesse Melaku; Bhagavathula, Akshaya Srikanth; Gebreyohannes, Eyob Alemayehu; Mekonnen, Alemayehu; Abebe, Tamrat Befekadu

doi:10.1186/s12872-018-0742-3

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“…Patients who had PDS completed by a community dentist before hospital admission, no documented PDS, history of systemic infection at the time of hospitalization, or self‐reported history of intravenous drug abuse (IVDA) were excluded from the study. The dominant effects of IVDA and systemic infections on 90‐day mortality as well as postsurgical valvular outcomes reported in the literature justifies their exclusion from the study 12 . Baseline patient characteristics collected included age, sex, race, ethnicity, body mass index (BMI) and relevant comorbidities including diabetes, hypertension, history of cerebrovascular accident (CVA), history of chronic heart failure (CHF), peripheral vascular disease (PVD), and cerebrovascular disease (CVD).…”

Section: Methodsmentioning

confidence: 99%

“…The dominant effects of IVDA and systemic infections on 90-day mortality as well as postsurgical valvular outcomes reported in the literature justifies their exclusion from the study. 12 Baseline patient characteristics collected included age, sex, race, ethnicity, body mass index (BMI) and relevant comorbidities including diabetes, hypertension, history of cerebrovascular accident (CVA), history of chronic heart failure (CHF), peripheral vascular disease (PVD), and cerebrovascular disease (CVD).…”

Section: Study Populationmentioning

confidence: 99%

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Preoperative dental screening prior to cardiac valve surgery and 90‐day postoperative mortality

Rao

Treister

Axtell

et al. 2020

Journal of Cardiac Surgery

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Background: Preoperative dental screening before cardiac valve surgery is widely accepted but its required scope remains unclear. This study evaluates two preoperative dental screening (PDS) approaches, a focused approach (FocA) and a comprehensive approach (CompA), to compare postsurgical 90-day mortality. Methods: Retrospective cohort analysis was performed on all patients who underwent valve surgery at Brigham and Women's Hospital with FocA and Massachusetts General Hospital with CompA of PDS approach from January 2009 to December 2016. Patients with intravenous drug abuse and systemic infections were excluded. Univariate, multivariable, and subgroup analysis was performed. Results: A total of 1835 patients were included in the study. With FocA 96% of patients (1097/1143) received dental clearance in a single encounter with 3.3% receiving radiographs and undergoing dental extractions. With CompA 35.5% of patients (245/692) received dental clearance in a single encounter, 94.2% received radiographs, and 21.8% underwent dental extractions. There was no significant difference in 90-day mortality when comparing both PDS approach (10% vs 8.4%, P = .257). This remained unchanged in a multivariable model after adjusting for risk factors (odds ratio:1.32 [95%CI:0.91-1.93] [P = .14]). Reoperation due to infection was less in FocA (0.5%) vs CompA (2.6) (P < .001) and postoperative septicemia was increased in the FocA (1.7%) cohort when compared to the CompA (0.7%) (P < .001) patients. Conclusions: There was no difference in post valve surgery 90-day mortality between patients who underwent a FocA vs CompA of PDS.

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Section: Methodsmentioning

confidence: 99%

Section: Study Populationmentioning

confidence: 99%