We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
The impact of implementing an endocarditis team in comparison to the classic heart team in a tertiary referral centre.
- Authors
van den Heuvel, F. M. A.; Bos, M.; Geuzebroek, G. S. C.; Aarntzen, E. H. J. G.; Maat, I.; Dieker, H. J.; Verkroost, M.; Rodwell, L.; ten Oever, J.; van Crevel, R.; Habets, J.; Kouijzer, I. J. E.; Nijveldt, R.
- Abstract
Background: Infective endocarditis (IE) is a complex disease for which the European Society of Cardiology guideline recommends a dedicated multidisciplinary endocarditis team (ET) approach since 2015. It is currently unknown whether this ET approach is beneficial compared to a classic heart team approach including bedside consultation by an infectious disease specialist in Western Europe. Methods: This retrospective single centre, observational cohort study was conducted at the Radboudumc, a tertiary referral centre in the Netherlands. Consecutive patients treated for IE were included from September 2017 to September 2018 before implementation of a dedicated ET and from May 2019 to May 2020 afterwards. Results: In total, 90 IE patients (45 patients before and 45 patients after the implementation of the ET) were included. No significant differences were found in diagnostic workup, surgical treatment (surgery performed 69% vs. 71%, p = 0.82), time to surgery because of an urgent indication (median 4 vs. 6 days, p = 0.82), in-hospital complications (53% vs. 67%, p = 0.20), and 6-month mortality (11% vs. 13%, p = 0.75) between IE patients treated before and after the implementation of the ET. Conclusion: Formalization of the recommended multidisciplinary endocarditis team might not significantly improve the complication rate nor the short term outcome.
- Subjects
WESTERN Europe; NETHERLANDS; EUROPEAN Society of Cardiology; ENDOCARDITIS; INFECTIVE endocarditis; TEAMS; HEART; COMMUNICABLE diseases
- Publication
BMC Cardiovascular Disorders, 2022, Vol 22, Issue 1, p1
- ISSN
1471-2261
- Publication type
Article
- DOI
10.1186/s12872-022-02558-0