Contemporary risk models for infective endocarditis surgery: a narrative review

Infective endocarditis is a complex heterogeneous condition involving the infection of the endocardium and heart valves, leading to severe complications, including death. Surgery is often indicated in patients with infective endocarditis but is associated with elevated risk compared with other forms...

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Main Authors: Ankit Agrawal, Aro Daniela Arockiam, Yasser Jamil, Joseph El Dahdah, Bianca Honnekeri, Michel Chedid El Helou, Joseph Kassab, Tom Kai Ming Wang
Format: Article
Language:English
Published: SAGE Publishing 2023-08-01
Series:Therapeutic Advances in Cardiovascular Disease
Online Access:https://doi.org/10.1177/17539447231193291
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author Ankit Agrawal
Aro Daniela Arockiam
Yasser Jamil
Joseph El Dahdah
Bianca Honnekeri
Michel Chedid El Helou
Joseph Kassab
Tom Kai Ming Wang
author_facet Ankit Agrawal
Aro Daniela Arockiam
Yasser Jamil
Joseph El Dahdah
Bianca Honnekeri
Michel Chedid El Helou
Joseph Kassab
Tom Kai Ming Wang
author_sort Ankit Agrawal
collection DOAJ
description Infective endocarditis is a complex heterogeneous condition involving the infection of the endocardium and heart valves, leading to severe complications, including death. Surgery is often indicated in patients with infective endocarditis but is associated with elevated risk compared with other forms of cardiac surgery. Risk models play an important role in many cardiac surgeries as they can help inform clinicians and patients regarding procedural risk, decision-making to proceed or not, and influence perioperative management; however, they remain under-utilized in the infective endocarditis settings. Another crucial role of such risk models is to assess predicted versus found mortality, thereby allowing an assessment of institutional performance in infective endocarditis surgery. Traditionally, general cardiac surgery risk models such as European System for Cardiac Operative Risk Evaluation (EuroSCORE), EuroSCORE II, and Society of Thoracic Surgeon’s score have been applied to endocarditis surgery. However, there has been the development of many endocarditis surgery-specific scores over the last decade. This review aims to discuss clinical characteristics and applications of all contemporary risk scores in the setting of surgical treatment of infective endocarditis.
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spelling doaj.art-55b08cbd5b2f42b7894f1fbc4fd59bb32023-08-31T01:03:27ZengSAGE PublishingTherapeutic Advances in Cardiovascular Disease1753-94552023-08-011710.1177/17539447231193291Contemporary risk models for infective endocarditis surgery: a narrative reviewAnkit AgrawalAro Daniela ArockiamYasser JamilJoseph El DahdahBianca HonnekeriMichel Chedid El HelouJoseph KassabTom Kai Ming WangInfective endocarditis is a complex heterogeneous condition involving the infection of the endocardium and heart valves, leading to severe complications, including death. Surgery is often indicated in patients with infective endocarditis but is associated with elevated risk compared with other forms of cardiac surgery. Risk models play an important role in many cardiac surgeries as they can help inform clinicians and patients regarding procedural risk, decision-making to proceed or not, and influence perioperative management; however, they remain under-utilized in the infective endocarditis settings. Another crucial role of such risk models is to assess predicted versus found mortality, thereby allowing an assessment of institutional performance in infective endocarditis surgery. Traditionally, general cardiac surgery risk models such as European System for Cardiac Operative Risk Evaluation (EuroSCORE), EuroSCORE II, and Society of Thoracic Surgeon’s score have been applied to endocarditis surgery. However, there has been the development of many endocarditis surgery-specific scores over the last decade. This review aims to discuss clinical characteristics and applications of all contemporary risk scores in the setting of surgical treatment of infective endocarditis.https://doi.org/10.1177/17539447231193291
spellingShingle Ankit Agrawal
Aro Daniela Arockiam
Yasser Jamil
Joseph El Dahdah
Bianca Honnekeri
Michel Chedid El Helou
Joseph Kassab
Tom Kai Ming Wang
Contemporary risk models for infective endocarditis surgery: a narrative review
Therapeutic Advances in Cardiovascular Disease
title Contemporary risk models for infective endocarditis surgery: a narrative review
title_full Contemporary risk models for infective endocarditis surgery: a narrative review
title_fullStr Contemporary risk models for infective endocarditis surgery: a narrative review
title_full_unstemmed Contemporary risk models for infective endocarditis surgery: a narrative review
title_short Contemporary risk models for infective endocarditis surgery: a narrative review
title_sort contemporary risk models for infective endocarditis surgery a narrative review
url https://doi.org/10.1177/17539447231193291
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