Table 5.
Hazard ratio for in-hospital surgery | 95% CI | p value | Hazard ratio for surgery within 1 year | 95% CI | p value | |
Age | <0.001 | <0.001 | ||||
≥65 years | 1 | 1 | ||||
18–64 years | 3.03 | 1.76 – 5.21 | 2.57 | 1.59 – 4.13 | ||
Sex | 0.003 | 0.013 | ||||
Female | 1 | 1 | ||||
Male | 2.30 | 1.32 – 4.02 | 1.83 | 1.14 – 2.95 | ||
Etiology | 0.611b | 0.178b | ||||
Staphylococcus aureus | 1 | 1 | ||||
CoNSc | 1.17 | 0.52 – 2.63 | 1.07 | 0.49 – 2.36 | ||
Viridans streptococci | 1.55 | 0.81 – 2.96 | 1.56 | 0.88 – 2.77 | ||
Enterococcus faecalis | 0.59 | 0.20 – 1.76 | 0.53 | 0.18 – 1.56 | ||
Streptococcus pneumoniae | 1.59 | 0.53 – 4.76 | 2.67 | 1.07 – 6.65 | ||
Other pathogens | 1.28 | 0.55 – 2.97 | 1.30 | 0.61–2.77 | ||
Culture negative | 1.38 | 0.75 – 2.54 | 1.34 | 0.77 –2.35 | ||
Affected valve | <0.001b | 0.002b | ||||
Prosthetic | 1 | 1 | ||||
Aortic | 1.41 | 0.82 – 2.42 | 1.47 | 0.87–2.48 | ||
Mitral | 0.30 | 0.14 – 0.65 | 0.67 | 0.37–1.22 | ||
Tricuspid | NAd | NA | NA | NA | ||
Two native valves | 1.77 | 0.90 – 3.49 | 2.22 | 1.16–4.25 | ||
Echocardiography | ||||||
Major Criterion | 0.004 | <0.001 | ||||
No | 1 | 1 | ||||
Yes | 2.99 | 1.63 – 5.50 | 2.57 | 1.58 – 4.18 | ||
Vegetation | 0.027 | 0.007 | ||||
No | 1. | 1 | ||||
Yes | 1.71 | 1.06 – 2.76 | 1.76 | 1.17 – 2.66 | ||
Neurological complicationse | 0.399 | 0.184 | ||||
No | 1 | 1 | ||||
Yes | 1.22 | 0.77 – 1.94 | 1.32 | 0.88 – 1.99 | ||
Peripheral embolie | <0.001 | 0.112 | ||||
No | 1 | 1 | ||||
Yes | 6.12 | 3.97 – 9.42 | 1.37 | 0.93 – 2.03 | ||
Heart failuree | <0.001 | <0.001 | ||||
No | 1 | 1 | ||||
Yes | 2.26 | 1.42 – 3.59 | 2.27 | 1.52 – 3.39 | ||
Serum CRP on admission | ||||||
< 100 mg/l | 1 | 1 | ||||
≥100 mg/l | 0.64 | 0.40–1.03 | 0.063 | 0.72 | 0.47–1.09 | 0.121 |
ESRf on admission | ||||||
< 50 mm/h | 1 | 1 | 0.28–0.78 | 0.004 | ||
≥50 mm/h | 0.44 | 0.25–0.79 | 0.006 | 0.47 |
aMean (SD) duration of in-hospital treatment was 55 (33), range 4 to 272 days; bp values for overall group differences; ccoagulase-negative staphylococci; dNA; not applicable, 0 number of cases; ewithin 3 months from admission; ferythrocyte sedimentation rate