Table 2.
Frequency and association of patient demographics, clinical characteristics and underlying disease severity with HRG at the time of presentation of IE patients admitted at AKUH 2015–2017 (n = 36)
| PATIENT CHARACTERISTICS | HRG N = 14 | NVG N = 22 | p-value | Odds Ratio (Confidence interval) |
|---|---|---|---|---|
| Mean Age | 45 | 38 | – | – |
| Gender: Male | 8 | 15 | 0.501 | 0.838 (0.490–1.432) |
| MoDC | ||||
| •Definite | 12 | 16 | 0.361 | 1.179 (0.844–1.645) |
| •Probable | 2 | 6 | 0.361 | 0.524 (0.122–2.240) |
| Acute clinical presentation | 5 | 12 | 0.270 | 0.655 (0.294–1.457) |
| Sub-acute presentation | 9 | 10 | 0.270 | 1.414 (0.775–2.581) |
| Positive culture | 10 | 20 | 0.126 | 0.786 (0.550–1.122) |
| Pure culture growth | 14 | 18 | 0.091 | 1.222 (1.004–1.488) |
| Rheumatic heart disease | 0 | 4 | 0.090 | |
| Prosthetic heart valve / cardiac implants | 11 | 0 | – | – |
| Congenital heart disease | 6 | 5 | 0.201 | 1.886 (0.708–5.022) |
| Severity at presentation | ||||
| Signs of thromboembolisma | 2 | 7 | 0.236 | 0.449(0.108–1.860) |
| Sepsis | 1 | 6 | 0.137 | 0.262 (0.951–1.714) |
| Multi organ dysfunction | 4 | 7 | 0.837 | 0.898 (0.321–2.514) |
| Rash /splinter hemorrhage | 0 | 4 | 0.091 | – |
| •Previous history of infective endocarditis | 1 | 0 | 0.204 | – |
| •Murmur | 2 | 8 | 0.149 | 0.393 (0.920–1.972) |
| •Raised infectious markers | 1 | 2 | 0.837 | 0.786 (0.078–7.876) |
| Radiologic evidence on Echocardiography | ||||
| •Vegetation | 13 | 14 | 0.048 | 1.45 (1.03–2.066) |
| •Mitral valve prolapse | 0 | 3 | 0.149 | – |
| •Peri-annular abscess | 2 | 3 | 0.956 | 1.048 (0.199–5.504) |
| •Valve perforation / dehiscence | 1 | 1 | 0.740 | 1.571 (0.107–23.140) |
| •Portal hypertension | 8 | 11 | 0.826 | – |
| •Aortic regurgitation | 6 | 10 | 0.878 | 0.943 (0.442–2.013) |
| •Mitral regurgitation | 4 | 7 | 0.837 | 0.898 (0.321–2.514) |
| •Pulmonary regurgitation | 2 | 0 | 0.068a | – |
HRG High risk group, NVG Native valve group, MoDC Modified Dukes Criteria
a= gangrene, unilateral weakness, slurring of speech, loss of consciousness