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Cited by 99Infective Endocarditis Diagnosis and ManagementCardiac Valve Diseases and TreatmentsStreptococcal Infections and Treatments

A Contemporary Picture of Enterococcal Endocarditis

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Pericàs, Juan M., Llopis, Jaume, Muñoz, Patricia, Gálvez-Acebal, Juan, Kestler, Martha, Valerio, Maricela, Hernández-Meneses, Marta, Goenaga, Miguel Á. +294 more·2020·Journal of the American College of Cardiology
DOI 10.1016/j.jacc.2019.11.047
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Abstract

Background Enterococcal endocarditis (EE) is a growing entity in Western countries. However, quality data from large studies is lacking. Objectives The purpose of this study was to describe the characteristics and analyze the prognostic factors of EE in the GAMES cohort. Methods This was a post hoc analysis of a prospectively collected cohort of patients from 35 Spanish centers from 2008 to 2016. Characteristics and outcomes of 516 cases of EE were compared with those of 3,308 cases of nonenterococcal endocarditis (NEE). Logistic regression and Cox proportional hazards regression analysis were performed to investigate risk factors for in-hospital and 1-year mortality, as well as relapses. Results Patients with EE were significantly older; more frequently presented chronic lung disease, chronic heart failure, prior endocarditis, and degenerative valve disease; and had higher median age-adjusted Charlson score. EE more frequently involved the aortic valve and prosthesis (64.3% vs. 46.7%; p Conclusions Besides other baseline and clinical differences, EE more frequently affects prosthetic valves and less frequently pacemakers/defibrillators. EE presents higher rates of relapse than NEE.

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Pericàs, J. M., Llopis, J., Muñoz, P., Gálvez-Acebal, J., Kestler, M., Valerio, M., Hernández-Meneses, M., Goenaga, M. Á., Cobo-Belaustegui, M., Montejo, M., Ojeda-Burgos, G., Sousa-Regueiro, M. D., de Alarcón, A., Ramos-Martínez, A., Miró, J. M., Sánchez, F. F., Noureddine, M., Rosas, G., de la Torre Lima, J., Blanco, R., Boado, M. V., Campaña Lázaro, M., Crespo, A., Goikoetxea, J., Iruretagoyena, J. R., Irurzun Zuazabal, J., López-Soria, L., Montejo, M., Nieto, J., Rodrigo, D., Rodríguez, R., Vitoria, Y., Voces, R., García López, M. V., Georgieva, R. I., Ojeda, G., Rodríguez Bailón, I., Ruiz Morales, J., María Cuende, A., Echeverría, T., Fuerte, A., Gaminde, E., Goenaga, M. Á., Idígoras, P., Antonio Iribarren, J., Izaguirre Yarza, A., Kortajarena Urkola, X., Reviejo, C., Carrasco, R., Climent, V., Llamas, P., Merino, E., Plazas, J., Reus, S., Álvarez, N., Bravo-Ferrer, J. M., Castelo, L., Cuenca, J., Llinares, P., Miguez Rey, E., Rodríguez Mayo, M., Sánchez, E., Sousa Regueiro, D., Javier Martínez, F., Alonso, M. D. M., Castro, B., García Rosado, D., Durán, M. D. C., Miguel Gómez, M. A., Lacalzada, J., Nassar, I., Plata Ciezar, A., Reguera Iglesias, J. M., Asensi Álvarez, V., Costas, C., de la Hera, J., Fernández Suárez, J., Iglesias Fraile, L., León Arguero, V., López Menéndez, J., Mencia Bajo, P., Morales, C., Moreno Torrico, A., Palomo, C., Paya Martínez, B., Rodríguez Esteban, Á., Rodríguez García, R., Telenti Asensio, M., Almela, M., Ambrosioni, J., Azqueta, M., Brunet, M., Bodro, M., Cartañá, R., Falces, C., Fita, G., Fuster, D., García de la Mària, C., García-Pares, D., Hernández-Meneses, M., Llopis Pérez, J., Marco, F., Miró, J. M., Moreno, A., Nicolás, D., Ninot, S., Quintana, E., Paré, C., Pereda, D., Pericás, J. M., Pomar, J. L., Ramírez, J., Rovira, I., Sandoval, E., Sitges, M., Soy, D., Téllez, A., Tolosana, J. M., Vidal, B., Vila, J., Adán, I., Bermejo, J., Bouza, E., Celemín, D., Cuerpo Caballero, G., Delgado Montero, A., García Mansilla, A., García Leoni, M. E., González Ramallo, V., Kestler Hernández, M., Hualde, A. M., Marín, M., Martínez-Sellés, M., Muñoz, P., Rincón, C., Rodríguez-Abella, H., Rodríguez-Créixems, M., Pinilla, B., Pinto, Á., Valerio, M., Vázquez, P., Verde Moreno, E., Antorrena, I., Loeches, B., Martín Quirós, A., Moreno, M., Ramírez, U., Rial Bastón, V., Romero, M., Saldaña, A., Agüero Balbín, J., Armiñanzas Castillo, C., Arnaiz, A., Arnaiz de las Revillas, F., Cobo Belaustegui, M., Fariñas, M. C., Fariñas-Álvarez, C., Gómez Izquierdo, R., García, I., González Rico, C., Gutiérrez-Cuadra, M., Gutiérrez Díez, J., Pajarón, M., Parra, J. A., Teira, R., Zarauza, J., Calderón Parra, J., Cobo, M., Domínguez, F., Fortaleza, A., García Pavía, P., González, J., Fernández Cruz, A., Múñez, E., Ramos, A., Sánchez Romero, I., Centella, T., Hermida, J. M., Moya, J. L., Martín-Dávila, P., Navas, E., Oliva, E., del Río, A., Rodríguez-Roda Stuart, J., Ruiz, S., Hidalgo Tenorio, C., Almendro Delia, M., Araji, O., Barquero, J. M., Calvo Jambrina, R., de Cueto, M., Gálvez Acebal, J., Méndez, I., Morales, I., López-Cortés, L. E., de Alarcón, A., García, E., Haro, J. L., Lepe, J. A., López, F., Luque, R., Alonso, L. J., Azcárate, P., Azcona Gutiérrez, J. M., Blanco, J. R., Cabrera Villegas, A., García-Álvarez, L., Oteo, J. A., Sanz, M., de Benito, N., Gurguí, M., Pacho, C., Pericas, R., Pons, G., Álvarez, M., Fernández, A. L., Martínez, A., Prieto, A., Regueiro, B., Tijeira, E., Vega, M., Canut Blasco, A., Cordo Mollar, J., Gainzarain Arana, J. C., García Uriarte, O., Martín López, A., Ortiz de Zárate, Z., Urturi Matos, J. A., Gloria, G.-D., Antonio, S.-P., Arribas Leal, J. M., García Vázquez, E., Hernández Torres, A., Blázquez, A., de la Morena Valenzuela, G., Alonso, Á., Aramburu, J., Calvo, F. E., Moreno Rodríguez, A., Tarabini-Castellani, P., Heredero Gálvez, E., Maicas Bellido, C., Largo Pau, J., Sepúlveda, M. A., Toledano Sierra, P., Iqbal-Mirza, S. Z., Cascales Alcolea, E., Keituqwa Yañez, I., Martínez, J. N., Ballesta, A. P., Moreno Escobar, E., Peña Monje, A., Sánchez Cabrera, V., Vinuesa García, D., Arrizabalaga Asenjo, M., Cifuentes Luna, C., Núñez Morcillo, J., Pérez Seco, M. C., Villoslada Gelabert, A., Aured Guallar, C., Fernández Abad, N., García Mangas, P., Matamala Adell, M., Palacián Ruiz, M. P., Porres, J. C., Alcaraz Vidal, B., Cobos Trigueros, N., Del Amor Espín, M. J., Giner Caro, J. A., Jiménez Sánchez, R., Jimeno Almazán, A., Ortín Freire, A., Viqueira González, M., Pericás Ramis, P., Ribas Blanco, M. Á., Ruiz de Gopegui Bordes, E., Vidal Bonet, L., Bellón Munera, M. C., Escribano Garaizabal, E., Tercero Martínez, A., Segura Luque, J. C., Badía, C., Boix Palop, L., Xercavins, M., Ibars, S., Nebreda, E. G., Horcajada Herrera, I., Menduiña Gallego, I., Marrero Santiago, H., de Miguel Martínez, I., Pisos Álamo, E., Díaz Pedroche, C., Chaves, F., de Cossío, S., López Medrano, F., López, M. J., Solera, J., Solís, J., Ardanuy, C., Cuervo Requena, G., Grillo, S., & Ruiz Majoral, A.
Affiliations
  • Hospital Clínic de Barcelona (ES)
  • Consejo Superior de Investigaciones Científicas (ES)
  • Universidad Complutense de Madrid (ES)
  • Marqués de Valdecilla University Hospital (ES)
  • Complexo Hospitalario Universitario A Coruña (ES)
  • Hospital Universitario Puerta de Hierro Majadahonda (ES)
  • Universitat de Lleida (ES)
ORCID
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2020-02
Volume
75
Issue
5
Pages
482-494
ISSN
0735-1097 (ISSN-L)
DOI
10.1016/j.jacc.2019.11.047
OpenAlex
W3004463737
Cited by
99
References
30
Citations by year
2026: 15 · 2025: 22 · 2024: 20 · 2023: 11 · 2022: 12 · 2021: 9 · 2020: 10
FWCI
7.52
Type
journal article
Language
en
Update notices
erratum (2020-06-16)
Open access
Licence
Locations
  • Journal of the American College of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
  • Hispana (publishedVersion)
  • DIGITAL.CSIC (Spanish National Research Council (CSIC)) (submittedVersion)
  • Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, cc-by-nc-nd)
  • Repositori ObertUDL (University of Lleida) (submittedVersion, cc-by-nc-nd)
  • RISalud Institutional Health Repository of Andalucía (submittedVersion, other-oa)
Funders
Instituto de Salud Carlos III
Topics
  • Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Streptococcal Infections and Treatments
Keywords
enterococcal endocarditis, prosthetic valve endocarditis, aortic valve, mortality risk factors, persistent bacteremia, septic shock, acute heart failure, Charlson Comorbidity Index, cardiac surgery
MeSH terms
Aged, Endocarditis, Bacterial, Female, Humans, Male, Middle Aged, Spain, Enterococcus faecalis, Cohort Studies, Gram-Positive Bacterial Infections

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