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Table 5 Factors predicting in-hospitala surgery and surgery within 1 year from admission

From: Short-term and one-year outcome of infective endocarditis in adult patients treated in a Finnish teaching hospital during 1980–2004

 

Hazard ratio for in-hospital surgery

95% CI

p value

Hazard ratio for surgery within 1 year

95% CI

p value

Age

  

<0.001

  

<0.001

   ≥65 years

1

  

1

  

   18–64 years

3.03

1.76 – 5.21

 

2.57

1.59 – 4.13

 

Sex

  

0.003

  

0.013

   Female

1

  

1

  

   Male

2.30

1.32 – 4.02

 

1.83

1.14 – 2.95

 

Etiology

  

0.611b

  

0.178b

   Staphylococcus aureus

1

  

1

  

   CoNSc

1.17

0.52 – 2.63

 

1.07

0.49 – 2.36

 

   Viridans streptococci

1.55

0.81 – 2.96

 

1.56

0.88 – 2.77

 

   Enterococcus faecalis

0.59

0.20 – 1.76

 

0.53

0.18 – 1.56

 

   Streptococcus pneumoniae

1.59

0.53 – 4.76

 

2.67

1.07 – 6.65

 

   Other pathogens

1.28

0.55 – 2.97

 

1.30

0.61–2.77

 

   Culture negative

1.38

0.75 – 2.54

 

1.34

0.77 –2.35

 

Affected valve

  

<0.001b

  

0.002b

   Prosthetic

1

  

1

  

   Aortic

1.41

0.82 – 2.42

 

1.47

0.87–2.48

 

   Mitral

0.30

0.14 – 0.65

 

0.67

0.37–1.22

 

   Tricuspid

NAd

NA

 

NA

NA

 

   Two native valves

1.77

0.90 – 3.49

 

2.22

1.16–4.25

 

Echocardiography

      

   Major Criterion

  

0.004

  

<0.001

No

1

  

1

  

Yes

2.99

1.63 – 5.50

 

2.57

1.58 – 4.18

 

   Vegetation

  

0.027

  

0.007

No

1.

  

1

  

Yes

1.71

1.06 – 2.76

 

1.76

1.17 – 2.66

 

Neurological complications e

  

0.399

  

0.184

No

1

  

1

  

Yes

1.22

0.77 – 1.94

 

1.32

0.88 – 1.99

 

Peripheral emboli e

  

<0.001

  

0.112

No

1

  

1

  

Yes

6.12

3.97 – 9.42

 

1.37

0.93 – 2.03

 

Heart failure e

  

<0.001

  

<0.001

No

1

  

1

  

Yes

2.26

1.42 – 3.59

 

2.27

1.52 – 3.39

 

Serum CRP on admission

      

   < 100 mg/l

1

  

1

  

   ≥100 mg/l

0.64

0.40–1.03

0.063

0.72

0.47–1.09

0.121

ESR f on admission

      

   < 50 mm/h

1

  

1

0.28–0.78

0.004

   ≥50 mm/h

0.44

0.25–0.79

0.006

0.47

  
  1. aMean (SD) duration of in-hospital treatment was 55 (33), range 4 to 272 days; bp values for overall group differences; ccoagulase-negative staphylococci; dNA; not applicable, 0 number of cases; ewithin 3 months from admission; ferythrocyte sedimentation rate