Sex Differences in Infective Endocarditis

Copyright © 2020 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved..

BACKGROUND: The impact of sex on the presentation, etiology, and outcomes of infective endocarditis (IE) has not been adequately studied. The aim of the present research was to analyze the impact of sex on the presentation, etiology, and outcomes of IE.

METHODS: We performed a retrospective study of 214 adult patients (131 male and 83 female) with IE. All cases of IE were reviewed by two investigators- both senior physicians in internal medicine. Two groups of patients were compared: male and female patients with IE. The primary outcome was in-hospital mortality.

RESULTS: We found significant differences in etiologic factors of IE in male and female patients. Microbiologic etiology differences between male and female groups of patients were in coagulase negative staphylococcus (15.0% in male vs 3.8% in female groups, P = 0.011), and culture negative endocarditis (8.7% in male vs 23.8% in female groups, P = 0.004). We did not find a difference in the primary outcome between the two groups; however, all-cause mortality was significantly higher in the female group as compared to the male group (26 [31.3] vs 22 [16.8], P = 0.018).

CONCLUSIONS: We found that sex may have important role in both the microbial profile and the patient's outcome with IE.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:361

Enthalten in:

The American journal of the medical sciences - 361(2021), 1 vom: 10. Jan., Seite 83-89

Sprache:

Englisch

Beteiligte Personen:

Polishchuk, Ilya [VerfasserIn]
Stavi, Vered [VerfasserIn]
Awesat, Jenan [VerfasserIn]
Ben Baruch Golan, Yael [VerfasserIn]
Bartal, Carmi [VerfasserIn]
Sagy, Iftach [VerfasserIn]
Jotkowitz, Alan [VerfasserIn]
Barski, Leonid [VerfasserIn]

Links:

Volltext

Themen:

Infective Endocarditis
Journal Article
Sex differences in etiology
Sex differences in outcomes

Anmerkungen:

Date Completed 28.01.2021

Date Revised 28.01.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.amjms.2020.08.021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315592796