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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 79(4)

Clinical features of patients with infective endocarditis presenting to the emergency department : a retrospective case series

https://doi.org/10.18999/nagjms.79.4.467
https://doi.org/10.18999/nagjms.79.4.467
e5106a33-a6f4-42af-90e9-00f18dd1d617
名前 / ファイル ライセンス アクション
06_Jingushi.pdf 06_Jingushi.pdf (548.7 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2017-11-22
タイトル
タイトル Clinical features of patients with infective endocarditis presenting to the emergency department : a retrospective case series
著者 Jingushi, Naruhiro

× Jingushi, Naruhiro

WEKO 74124

Jingushi, Naruhiro

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Iwata, Mitsunaga

× Iwata, Mitsunaga

WEKO 74125

Iwata, Mitsunaga

Search repository
Terasawa, Teruhiko

× Terasawa, Teruhiko

WEKO 74126

Terasawa, Teruhiko

Search repository
キーワード
主題Scheme Other
主題 blood culture
キーワード
主題Scheme Other
主題 echocardiography
キーワード
主題Scheme Other
主題 emergency service
キーワード
主題Scheme Other
主題 endocarditis
抄録
内容記述 Infective endocarditis (IE) is an uncommon clinical problem with diverse, nonspecific presentations. Therefore, information on the clinical features of IE patients presenting to emergency departments (EDs) is scarce. To descriptively analyze the pertinent data, we performed a retrospective chart review. We reviewed 15 consecutive IE patients admitted directly from ED in a university hospital in Japan between 2013 and 2015. We compared their clinical features with those of 14 IE patients admitted during the same period without ED presentations. Patients admitted directly from ED were older than those without ED presentations (median, 78 vs. 52 years; adjusted p = 0.036) and were more likely to have come without referrals (referral rate, 21% vs. 86%; adjusted p = 0.012). These patients were less likely to have been treated with antibiotics before admission (antibiotic-exposure rate, 7% vs. 64%; adjusted p = 0.013) and had earlier blood-culture positivity (median, 2 vs. 5 days; adjusted p = 0.012), resulting in earlier diagnosis (median duration of symptoms before diagnosis, 5 vs. 30 days; adjusted p = 0.012). Other clinical features, including causative pathogens and IE-related comorbidities, were similar between the groups, consistent with previous a nationwide Japanese study. In conclusion, most IE patients admitted to the hospital from ED were elderly, were antibiotic-naïve, and had presented without a referral. Relatively few patients had classical presentations of IE. Given the limited data, more research is needed to confirm that IE patients presenting to EDs constitute a unique group of elderly patients with specific clinical features.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.79.4.467
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 79, 号 4, p. 467-476, 発行日 2017-11
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/794.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/27116
識別子タイプ HDL
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