인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
The study aimed to analyze the predictive value of the vasoactive inotropic score (VIS) in the postoperative treatment of patients undergoing valve surgery for infective endocarditis (IE). At our institution, 334 patients underwent valve surgery for IE from 01/2016 to 12/2022. Patients with postoperative MCS device were excluded from this study. Data are presented as medians and 25th - 75th percentiles, or absolute numbers and percentages. Non-survivors had a significantly higher EuroSCORE II preoperatively (4.5 (2.3-9.8)% vs. 12.6 (5.7-20.9)%, p < 0.001). In non-survivors, Staphylococcus (89 (32.1%) vs. 20 (54.1%), p = 0.01) and Staphylococcus aureus (62 (22.4%) vs. 14(37.8%), p = 0.064) were significantly more frequently identified as causative pathogens. Non-survivors had significantly higher IL-6 levels at POD 1, 2 and 4 compared to survivors (p < 0.021). Non survivor had significantly higher VIS immediately postoperatively as well as 6 h, 12 h, 24 h, 36 h and 48 h after surgery. In addition, VIS at 48 h was identified as an independent variable associated with non-survival at values > 4.1. When comparing the ROC of lactate, ScvO2 and VIS after 48 h, VIS showed the highest AUC. The VIS is particularly suitable for patients with infective endocarditis due to combined assessment of postoperative cardiovascular dysfunction and IE related inflammatory response. We provided suggestive evidence that the amount of cardiovascular support represented as the VIS has a predictive value regarding mortality in patients undergoing valve replacement for IE. In addition, VIS showed superiority compared to conventional scoring systems for predicting outcome in the intensive care of postoperative IE patients.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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