Retrospective cohort study compares management and outcomes of infective endocarditis in a community hospital and referral centre, indicating potential for decentralized care.
Key Points
To compare the management and clinical outcomes of infective endocarditis in a community hospital and its surgical referral centre, and identify predictors of mortality.
Conducted a retrospective cohort study from 2018-2024 including 137 adult patients with infective endocarditis.
Compared mortality rates and identified predictors using Cox proportional hazards models.
Analyzed differences in diagnosis rates, surgical interventions, and clinical outcomes across two hospital settings.
Definite infective endocarditis diagnosed more frequently at the surgical referral centre (83.3% vs. 54.7%).
30-day mortality rates were 17.0% at the community hospital vs. 11.9% at the referral centre, not significantly different.
Surgery was associated with reduced mortality risk across all follow-up periods among patients with surgical indications.
Cite This Study
Jufresa-Michavila et al. (2026) studied this question.