Table 1 Clinical and surgical characteristics of the patients with neurological complication during the index IE admission by receiving neurosurgery or not.
From: Long-term Outcome of Neurological Complications after Infective Endocarditis
Variable | Total (n = 1035) | Neurosurgery (n = 279) | Non-neurosurgery (n = 756) | P value |
---|---|---|---|---|
Age (years) | 55.7 ± 17.1 | 48.3 ± 16.5 | 58.4 ± 16.5 | <0.001 |
Age ≥65 years | 337 (32.6) | 45 (16.1) | 292 (38.6) | <0.001 |
Male sex | 693 (67.0) | 200 (71.7) | 493 (65.2) | 0.049 |
Neurological complication | <0.001 | |||
Brain aneurysm | 79 (7.6) | 73 (26.2) | 6 (0.8) | |
Intracerebral hemorrhage | 264 (25.5) | 160 (57.3) | 104 (13.8) | |
Ischemic stroke | 568 (54.9) | 20 (7.2) | 548 (72.5) | |
Brain abscess | 70 (6.8) | 20 (7.2) | 50 (6.6) | |
Meningitis | 54 (5.2) | 6 (2.2) | 48 (6.3) | |
Previous valve disease etiology | ||||
Rheumatic heart disease | 56 (5.4) | 26 (9.3) | 30 (4.0) | 0.001 |
Congenital heart disease | 12 (1.2) | 8 (2.9) | 4 (0.5) | 0.002 |
Comorbid conditions | ||||
Previous stroke | 185 (17.9) | 44 (15.8) | 141 (18.7) | 0.283 |
Diabetes mellitus | 248 (24.0) | 49 (17.6) | 199 (26.3) | 0.003 |
Hypertension | 362 (35.0) | 65 (23.3) | 297 (39.3) | <0.001 |
Heart failure | 115 (11.1) | 28 (10.0) | 87 (11.5) | 0.504 |
Coronary artery disease | 174 (16.8) | 34 (12.2) | 140 (18.5) | 0.016 |
Atrial fibrillation | 91 (8.8) | 15 (5.4) | 76 (10.1) | 0.018 |
Dialysis | 63 (6.1) | 11 (3.9) | 52 (6.9) | 0.080 |
Chronic obstructive pulmonary disease | 60 (5.8) | 8 (2.9) | 52 (6.9) | 0.014 |
Liver cirrhosis | 73 (7.1) | 14 (5.0) | 59 (7.8) | 0.120 |
Gastrointestinal bleeding | 181 (17.5) | 39 (14.0) | 142 (18.8) | 0.071 |
Drug abuse | 28 (2.7) | 13 (4.7) | 15 (2.0) | 0.019 |
Charlson’s total score | 2.7 ± 2.4 | 2.4 ± 2.1 | 2.9 ± 2.5 | 0.002 |
Hospital level | 0.746 | |||
Teaching hospital | 602 (58.2) | 160 (57.3) | 442 (58.5) | |
Regional/district hospital | 433 (41.8) | 119 (42.7) | 314 (41.5) | |
Hospital volume of IE between 2001 to 2013 | 0.416 | |||
1st quartile (1–168) | 261 (25.2) | 69 (24.7) | 192 (25.4) | |
2nd quartile (169–431) | 269 (26.0) | 79 (28.3) | 190 (25.1) | |
3rd quartile (448–703) | 249 (24.1) | 58 (20.8) | 191 (25.3) | |
4th quartile (745–1648) | 256 (24.7) | 73 (26.2) | 183 (24.2) | |
Severe IE (received valve surgery) | 153 (14.8) | 42 (15.1) | 111 (14.7) | 0.881 |
Follow up year | 3.1 ± 3.5 | 3.3 ± 3.7 | 3.1 ± 3.4 | 0.253 |