Infective endocarditis and thoracic aortic disease: A review on forgotten psychological aspects

Bagnasco, Mariana Suárez; Núñez‐Gil, Iván J.

doi:10.4330/wjc.v9.i7.620

Cited by 12 publications

(8 citation statements)

References 34 publications

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“…Endocarditis-related mortality has remained steadily high since 2000 and is strongly associated with several risk factors, such as advanced age, a high Charlson comorbidity index, non-community acquisition, prosthetic valves, staphylococcal infections, perivalvular complications, stroke, and the non-performance of surgery when indicated ( 3 , 4 , 11 , 16 , 31 , 32 ). Of note, studies on psychological outcomes in survivors after an episode of endocarditis have demonstrated a reduction in quality of life and the occurrence of posttraumatic stress disorder ( 33 ).…”

Section: Epidemiologymentioning

confidence: 99%

Current Challenges in the Management of Infective Endocarditis

et al. 2021

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Infective endocarditis is a relatively rare, but deadly cause of sepsis, with an overall mortality ranging from 20 to 25% in most series. Although the classic clinical classification into syndromes of acute or subacute endocarditis have not completely lost their usefulness, current clinical forms have changed according to the profound epidemiological changes observed in developed countries. In this review, we aim to address the changing epidemiology of endocarditis, several recent advances in the understanding of the pathophysiology of endocarditis and endocarditis-triggered sepsis, new useful diagnostic tools as well as current concepts in the medical and surgical management of this disease. Given its complexity, the management of infective endocarditis requires the close collaboration of multidisciplinary endocarditis teams that must decide on the diagnostic approach; the appropriate initial treatment in the critical phase; the detection of patients needing surgery and the timing of this intervention; and finally the accurate selection of patients for out-of-hospital treatment, either at home hospitalization or with oral antibiotic treatment.

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Section: Epidemiologymentioning

confidence: 99%

Current Challenges in the Management of Infective Endocarditis

et al. 2021

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“…A study noted that the U.S. spent approximately twice as much as other high income countries on healthcare (19) . The initial median admission duration from our data lasted approximately 9 days, while median readmission number was 10 days (IQR, [5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Essentially, we are spending more .…”

Section: Discussionmentioning

confidence: 98%

“…The copyright holder for this preprint this version posted June 5, 2021. ; https://doi.org/10.1101/2021.06.04.21258024 doi: medRxiv preprint work and activities of daily living (17) . There was also another study that reported to find that 1 in 4 patients had self-reported symptoms of anxiety and depression (18) .…”

Section: Discussionmentioning

confidence: 99%

Costs and predictors of early readmissions in patients with Infective Endocarditis. Utilizing the Nationwide Readmission Database

Zaman

Amritphale

Malozzi

et al. 2021

Preprint

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BACKGROUND: There have been previous studies detailing the variables involved in readmissions in patients with a primary admission diagnosis of infective endocarditis, however those studies were done prior to the 2015 change in AHA guidelines and introduction to ICD10 codes. OBJECTIVES: The aim of this study was to describe the frequency, causes, factors, and costs associated with infective endocarditis encounters. METHODS: Utilizing the 2017 national readmission database (NRD), we identified all patients that were admitted with infective endocarditis. These patients were evaluated for the rates, predictors, and costs of unplanned 30 days readmissions. Weighted analysis was performed to obtain nationally representative data. RESULTS: 56,357 patients were identified to have been admitted with a diagnosis of infective endocarditis of whom 13,004 patients (23%) were readmitted within 30 days of the index discharge. The most common causes of readmission were septicemia (15.1%), endocarditis and endocardial disease (10.5%), heart failure (9.5%), and complication of cardiovascular device, implant or graft, initial encounter (5.6%). Data showed that there were certain comorbidities that resulted in a higher risk of being readmitted, these include chronic kidney disease, COPD, tobacco use, and hepatic failure. Cost of readmissions per patient was approximately $22,059 (IQR $11,630 to $49,964). CONCLUSIONS: Thirty-day unplanned readmissions remain a significant issue affecting nearly 1 in 6 patients with infective endocarditis. This is associated with significant mortality and financial burden. Multi-disciplinary approach may help decrease readmissions, reduce complications, and improve overall outcomes as well as the overall quality of life of our patients.

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“…The article, “Infective endocarditis and thoracic aortic disease: a review on forgotten psychological issues” by Marianna Bagnasco provides a very good overview of the studies related to the psychological and quality of life outcomes related to infective endocarditis and thoracic aortic disease[ 1 ]. However there are a few points that could be addressed when interpreting this dataset.…”

Section: Commentary On Hot Topicsmentioning

confidence: 99%

More to the picture of the psychological impact of endocarditis and thoracic aortic pathology

Ginesi

Firstenberg

2018

WJC

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Over the years there has been substantial advanced in the diagnosis and surgical management of complex thoracic aortic disease and complex endocarditis. As these therapies are being offered to a growing segment of patients-and more and more patients are felt to potentially benefit from such therapies, the long-term consequences of these interventions is sometimes poorly understood. While traditional medical complications, such as stroke, renal failure, respiratory failure, and even death are often the focus of outcomes studies, little is known on the impact of these diseases and therapies on mental health. This commentary emphasizes the importance of better understanding the psychologic impact of endocarditis and thoracic aortic pathology as reviewed by Dr. Bagnasco.

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Infective endocarditis and thoracic aortic disease: A review on forgotten psychological aspects

Cited by 12 publications

References 34 publications

Current Challenges in the Management of Infective Endocarditis

Current Challenges in the Management of Infective Endocarditis

Costs and predictors of early readmissions in patients with Infective Endocarditis. Utilizing the Nationwide Readmission Database

More to the picture of the psychological impact of endocarditis and thoracic aortic pathology

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