Table 2.
Overall Cohort | Patients Treated Medically | Patients Treated Surgically | P | |
---|---|---|---|---|
Pre‐ and intrahospital events | ||||
Any systemic embolization before initiation of antibiotic therapy | 41/66 (62%) | 5/8 (63%) | 36/58 (62%) | 0.98 |
Cerebral | 23/64 (36%) | 5/8 (63%) | 18/56 (23%) | 0.09 |
Silent | 7/64 (11%) | 2/8 (25%) | 5/56 (9%) | 0.17 |
Symptomatic (stroke) | 16/64 (25%) | 3/8 (38%) | 13/56 (23%) | 0.38 |
Splenic | 29/63 (46%) | 1/7 (14%) | 28/56 (50%) | 0.07 |
Renal | 15/63 (24%) | 1/7 (14%) | 14/56 (25%) | 0.53 |
Any clinically symptomatic systemic embolization after initiation of antibiotic therapy | 5/71 (7%) | 0/12 (0%) | 5/59 (9%) | 0.30 |
Cerebral symptomatic (stroke) | 3/71 (4%) | 0 | 3/59 (5%) | 0.43 |
Splenic | 2/71 (3%) | 0 | 2/59 (3%) | 0.52 |
Renal | 1/71 (1%) | 0 | 1/59 (2%) | 0.65 |
Death | 26/71 (37%) | 1/12 (8%) | 25/59 (42%) | 0.03 |
Cardiovascular death | 13/71 (18%) | 0/12 | 13/59 (22%) | 0.07 |
Renal failure requiring replacement therapy | 18/69 (26%) | 0 | 18/57 (32%) | 0.02 |
BARC type 4 bleeding | NA | NA | 6/57 (11%) | NA |
Events at long‐term follow‐up | ||||
Death | 37/71 (52%) | 2/12 (17%) | 35/59 (59%) | 0.007 |
Cardiovascular death | 19/71 (28%) | 0/12 | 19/59 (32%) | 0.02 |
Recurrent endocarditis | 8/64 (13%) | 2/12 (17%) | 6/52 (12%) | 0.63 |
Abbreviations: BARC, Bleeding Academic Research Consortium; NA, not applicable.