Impact of Early Valve Surgery on Outcome of Staphylococcus aureus Prosthetic Valve Infective Endocarditis: Analysis in the International Collaboration of Endocarditis–Prospective Cohort Study
Open accessAbstract
BACKGROUND: The impact of early valve surgery (EVS) on the outcome of Staphylococcus aureus (SA) prosthetic valve infective endocarditis (PVIE) is unresolved. The objective of this study was to evaluate the association between EVS, performed within the first 60 days of hospitalization, and outcome of SA PVIE within the International Collaboration on Endocarditis-Prospective Cohort Study. METHODS: Participants were enrolled between June 2000 and December 2006. Cox proportional hazards modeling that included surgery as a time-dependent covariate and propensity adjustment for likelihood to receive cardiac surgery was used to evaluate the impact of EVS and 1-year all-cause mortality on patients with definite left-sided S. aureus PVIE and no history of injection drug use. RESULTS: EVS was performed in 74 of the 168 (44.3%) patients. One-year mortality was significantly higher among patients with S. aureus PVIE than in patients with non-S. aureus PVIE (48.2% vs 32.9%; P = .003). Staphylococcus aureus PVIE patients who underwent EVS had a significantly lower 1-year mortality rate (33.8% vs 59.1%; P = .001). In multivariate, propensity-adjusted models, EVS was not associated with 1-year mortality (risk ratio, 0.67 [95% confidence interval, .39-1.15]; P = .15). CONCLUSIONS: In this prospective, multinational cohort of patients with S. aureus PVIE, EVS was not associated with reduced 1-year mortality. The decision to pursue EVS should be individualized for each patient, based upon infection-specific characteristics rather than solely upon the microbiology of the infection causing PVIE.
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Data from nonrandomized trials from a single-center experience and an international collaboration support the notion that early valve surgery may not be beneficial in all patients with native or prosthetic valve infective endocarditis caused by S aureus.
“Data from nonrandomized trials from a single-center experience 250 and an international collaboration 251 support the notion 252 that early valve surgery may not be beneficial in all patients with native or PVE caused by S aureus.”
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- Authors
- Chirouze, C., Alla, F., Fowler, V. G., Sexton, D. J., Corey, G. R., Chu, V. H., Wang, A., Erpelding, M.-L., Durante-Mangoni, E., Fernández-Hidalgo, N., Giannitsioti, E., Hannan, M. M., Lejko-Zupanc, T., Miró, J. M., Muñoz, P., Murdoch, D. R., Tattevin, P., Tribouilloy, C., Hoen, B., on behalf of the ICE Prospective Investigators, Clara, L., Sanchez, M., Nacinovich, F., Oses, P. F., Ronderos, R., Sucari, A., Thierer, J., Casabé, J., Cortes, C., Altclas, J., Kogan, S., Spelman, D., Athan, E., Harris, O., Kennedy, K., Tan, R., Gordon, D., Papanicolas, L., Eisen, D., Grigg, L., Street, A., Korman, T., Kotsanas, D., Dever, R., Jones, P., Konecny, P., Lawrence, R., Rees, D., Ryan, S., Feneley, M. P., Harkness, J., Jones, P., Ryan, S., Jones, P., Ryan, S., Jones, P., Post, J., Reinbott, P., Ryan, S., Gattringer, R., Wiesbauer, F., Andrade, A. R., de Brito, A. C. P., Guimarães, A. C., Grinberg, M., Mansur, A. J., Siciliano, R. F., Strabelli, T. M. V., Vieira, M. L. C., de Medeiros Tranchesi, R. A., Paiva, M. G., Fortes, C. Q., de Oliveira Ramos, A., Ferraiuoli, G., Golebiovski, W., Lamas, C., Santos, M., Weksler, C., Karlowsky, J. A., Keynan, Y., Morris, A. M., Rubinstein, E., Jones, S. B., Garcia, P., Cereceda, M., Fica, A., Mella, R. M., Barsic, B., Bukovski, S., Krajinovic, V., Pangercic, A., Rudez, I., Vincelj, J., Freiberger, T., Pol, J., Zaloudikova, B., Ashour, Z., El Kholy, A., Mishaal, M., Rizk, H., Aissa, N., Alauzet, C., Alla, F., Campagnac, C., Doco-Lecompte, T., Selton-Suty, C., Casalta, J.-P., Fournier, P.-E., Habib, G., Raoult, D., Thuny, F., Delahaye, F., Delahaye, A., Vandenesch, F., Donal, E., Donnio, P. Y., Michelet, C., Revest, M., Tattevin, P., Violette, J., Chevalier, F., Jeu, A., Sorel, C., Tribouilloy, C., Bernard, Y., Chirouze, C., Hoen, B., Leroy, J., Plesiat, P., Naber, C., Neuerburg, C., Mazaheri, B., Naber, C., Neuerburg, C., Athanasia, S., Giannitsioti, E., Mylona, E., Paniara, O., Papanicolaou, K., Pyros, J., Skoutelis, A., Sharma, G., Francis, J., Nair, L., Thomas, V., Venugopal, K., Hannan, M., Hurley, J., Gilon, D., Israel, S., Korem, M., Strahilevitz, J., Rubinstein, E., Strahilevitz, J., Casillo, R., Cuccurullo, S., Dialetto, G., Durante-Mangoni, E., Irene, M., Ragone, E., Tripodi, M. F., Utili, R., Cecchi, E., De Rosa, F., Forno, D., Imazio, M., Trinchero, R., Tebini, A., Grossi, P., Lattanzio, M., Toniolo, A., Goglio, A., Raglio, A., Ravasio, V., Rizzi, M., Suter, F., Carosi, G., Magri, S., Signorini, L., Baban, T., Kanafani, Z., Kanj, S. S., Yasmine, M., Abidin, I., Tamin, S. S., Martínez, E. R., Soto Nieto, G. I., van der Meer, J. T. M., Chambers, S., Holland, D., Morris, A., Raymond, N., Read, K., Murdoch, D. R., Dragulescu, S., Ionac, A., Mornos, C., Butkevich, O. M., Chipigina, N., Kirill, O., Vadim, K., Vinogradova, T., Edathodu, J., Halim, M., Lum, L.-N., Tan, R.-S., Lejko-Zupanc, T., Logar, M., Mueller-Premru, M., Commerford, P., Commerford, A., Deetlefs, E., Hansa, C., Ntsekhe, M., Almela, M., Armero, Y., Azqueta, M., Castañeda, X., Cervera, C., del Rio, A., Falces, C., Garcia-de-la-Maria, C., Fita, G., Gatell, J. M., Marco, F., Mestres, C. A., Miró, J. M., Moreno, A., Ninot, S., Paré, C., Pericas, J., Ramirez, J., Rovira, I., Sitges, M., Anguera, I., Font, B., Guma, J. R., Bermejo, J., Bouza, E., Fernández, M. A. G., Gonzalez-Ramallo, V., Marín, M., Muñoz, P., Pedromingo, M., Roda, J., Rodríguez-Créixems, M., Solis, J., Almirante, B., Fernandez-Hidalgo, N., Tornos, P., de Alarcón, A., Parra, R., Alestig, E., Johansson, M., Olaison, L., Snygg-Martin, U., Pachirat, O., Pachirat, P., Pussadhamma, B., Senthong, V., Casey, A., Elliott, T., Lambert, P., Watkin, R., Eyton, C., Klein, J. L., Bradley, S., Kauffman, C., Bedimo, R., Chu, V. H., Corey, G. R., Crowley, A. L., Douglas, P., Drew, L., Fowler, V. G., Holland, T., Lalani, T., Mudrick, D., Samad, Z., Sexton, D., Stryjewski, M., Wang, A., Woods, C. W., Lerakis, S., Cantey, R., Steed, L., Wray, D., Dickerman, S. A., Bonilla, H., DiPersio, J., Salstrom, S.-J., Baddley, J., Patel, M., Peterson, G., Stancoven, A., Afonso, L., Kulman, T., Levine, D., Rybak, M., Cabell, C. H., Baloch, K., Chu, V. H., Corey, G. R., Dixon, C. C., Fowler, V. G., Harding, T., Jones-Richmond, M., Pappas, P., Park, L. P., Redick, T., Stafford, J., Anstrom, K., Athan, E., Bayer, A. S., Cabell, C. H., Chu, V. H., Corey, G. R., Fowler, V. G., Hoen, B., Karchmer, A. W., Miró, J. M., Murdoch, D. R., Sexton, D. J., Wang, A., Bayer, A. S., Cabell, C. H., Chu, V., Corey, G. R., Durack, D. T., Eykyn, S., Fowler, V. G., Hoen, B., Miró, J. M., Moreillon, P., Olaison, L., Raoult, D., Rubinstein, E., & Sexton, D. J.
- Affiliations
- Université de Lorraine, Université Paris Descartes, Apemac, EA4360
- Inserm (FR)
- Servei de Malalties Infeccioses, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Spain
- Mater Misericordiae University Hospital (IE)
- Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
- Barwon Health (AU)
- Flinders University (AU)
- The Royal Melbourne Hospital (AU)
- St George's Hospital (GB)
- University of Michigan (US)
- UNSW Sydney (AU)
- Medical University of Vienna (AT)
- Universidade de São Paulo (BR)
- Universidade Federal do Rio de Janeiro (BR)
- University of Manitoba (CA)
- Tel Aviv University (IL)
- Pontificia Universidad Católica de Chile (CL)
- University of Chile (CL)
- Centre Hospitalier Universitaire Pointe-à-Pitre (GP)
- Cairo University (EG)
- Aix-Marseille Université (FR)
- Université de Picardie Jules Verne (FR)
- Université de Franche-Comté (FR)
- University of Duisburg-Essen (DE)
- All India Institute of Medical Sciences (IN)
- University College Dublin (IE)
- Hebrew University of Jerusalem (IL)
- University of Naples Federico II (IT)
- University of Brescia (IT)
- American University (US)
- National Institutes of Health (US)
- University of Otago (NZ)
- Alfaisal University (SA)
- University of Ljubljana (SI)
- University of Cape Town (ZA)
- Universitat de Barcelona (ES)
- Universitat Autònoma de Barcelona (ES)
- Universidad Complutense de Madrid (ES)
- University of Gothenburg (SE)
- Khon Kaen University (TH)
- St Thomas' Hospital (GB)
- Duke University (US)
- Emory University (US)
- Medical University of South Carolina (US)
- New York University (US)
- Summa Health System (US)
- University of Alabama at Birmingham (US)
- The University of Texas Southwestern Medical Center (US)
- Wayne State University (US)
- IQVIA (United Kingdom) (GB)
- ORCID
- Clara, Liliana
- Nacinovich, Francisco
- Ronderos, Ricardo
- Sucari, Adriana
- Thierer, Jorge
- Kennedy, Karina
- Tan, Ren
- Gordon, David
- Papanicolas, Lito
- Eisen, Damon
- Grigg, Leeanne
- Korman, Tony
- Rees, David
- Feneley, Michael P.
- Post, Jeffrey
- Andrade, Adriana Ribas
- Grinberg, Max
- Mansur, Alfredo José
- Siciliano, Rinaldo Focaccia
- Vieira, Marcelo Luiz Campos
- Paiva, Marcelo Goulart
- Lamas, Cristiane
- Santos, Marisa
- Weksler, Clara
- Karlowsky, James A.
- Keynan, Yoav
- Morris, Andrew M.
- Bukovski, Suzana
- Vincelj, Josip
- Rizk, Hussien
- Alauzet, Corentine
- Fournier, Pierre-Edouard
- Habib, Gilbert
- Thuny, Franck
- Donal, Erwan
- Revest, Matthieu
- Chevalier, Florent
- Mylona, Elena
- Sharma, Gautam
- Francis, Johnson
- Gilon, Dan
- Israel, Sarah
- Korem, Maya
- Cecchi, Enrico
- Imazio, Massimo
- Grossi, Paolo
- Toniolo, Antonio
- Raglio, Annibale
- Rizzi, Marco
- Kanafani, Zeina
- Kanj, Souha S.
- Abidin, Imran
- Chambers, Stephen
- Read, Kerry
- Ionac, Adina
- Edathodu, Jameela
- Tan, Ru-San
- Logar, Mateja
- Ntsekhe, Mpiko
- Cervera, Carlos
- Falces, Carlos
- Marco, Francesc
- Mestres, Carlos A.
- Rovira, Irene
- Anguera, Ignasi
- Bermejo, Javier
- Bouza, Emilio
- Almirante, Benito
- Tornos, Pilar
- Johansson, Magnus
- Pussadhamma, Burabha
- Senthong, Vichai
- Casey, Anna
- Elliott, Tom
- Lambert, Peter
- Klein, John L.
- Bradley, Suzanne
- Bedimo, Roger
- Douglas, Pamela
- Holland, Thomas
- Woods, Christopher W.
- Lerakis, Stamatios
- Steed, Lisa
- Bonilla, Hector
- Baddley, John
- Levine, Donald
- Rybak, Michael
- Baloch, Khaula
- Anstrom, Kevin
- Karchmer, A. W.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-11-10
- Volume
- 60
- Issue
- 5
- Pages
- 741-749
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- PMC
- PMC4366581
- OpenAlex
- W2129921345
- Semantic Scholar
- 720606927eb08df8e6b1f586decea44e6825526e
- Cited by
- 104
- References
- 30
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 13 · 2023: 8 · 2022: 8 · 2021: 7 · 2020: 4 · 2019: 14 · 2018: 10 · 2017: 16 · 2016: 11 · 2015: 9
- FWCI
- 9.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- HAL (submittedVersion)
- Institutional Research Information System (University of Udine) (submittedVersion)
- Universitätsbibliographie, Universität Duisburg-Essen (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Own your potential (DEAKIN) (submittedVersion)
- Figshare (submittedVersion, cc-by)
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- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
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- HighWire Press Open Archive (submittedVersion)
- Universidad de Chile (submittedVersion, cc-by-nc-nd)
- SERVAL (Université de Lausanne) (submittedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (R01AI068804)
- 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 › Surgery › Orthopedic Infections and Treatments
- Keywords
- Staphylococcus aureus, prosthetic valve endocarditis, timing of cardiac surgery, one-year mortality, left-sided endocarditis, treatment decision-making
- MeSH terms
- Adult, Aged, Endocarditis, Female, Heart Valves, Humans, International Cooperation, Male, Middle Aged, Prospective Studies, Staphylococcal Infections, Staphylococcus aureus, Cohort Studies, Survival Analysis, Prosthesis-Related Infections, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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