Symptoms And Treatment Of Hospital Survivors

702 Words3 Pages
During the study period from 2006 to 2014, three hundred sixty patients with a definitive infective endocarditis diagnosis were included. The mean age of the patients was 53 ± 13 (range 18–94). Two hundred thirteen (59%) patients were male and one hundred forty seven were female. 80 of the 362 patients died during hospitalization and in- hospital mortality rate was 22% for the entire study. A total of 295 (83%) of the patients were African American. 76patients had a previous episode of IE (21%). At admission, the difference in the acute physiology (P=0.000) and chronic health points (P=0.020), with similar age showed that the total APACHE II score had a significant difference between in-hospital survivors versus deaths (P =0.001). The mean duration of hospital stay was (24+-17) days (range of 2–112 days) with the mean length of stay in ICU (9+-14). During hospitalization, 132 (37%) patients used vasopressor agents and 162(45.5) patients were on mechanical ventilation. Clinical evaluation showed the most common symptom was fever (72%) throughout hospitalization. Other manifestations were dyspnea (56%), edema (46%), chills (35%), chest pain (32%), delirium (18%), headache (18%), sweating (16%), back pain (25%), weight loss (10%), hemoptysis (5%) and abdominal pain (30 %). Physical examination revealed a new or worsening murmur in 210 (60%) patients, skin lesions in 65(18.5 %), conjunctival hemorrhage in 9 (1%) and splenomegaly in 11(3%). Other classic signs of IE included

More about Symptoms And Treatment Of Hospital Survivors

Get Access