학술논문

Trends in epidemiology, surgical management, and prognosis of infective endocarditis during the XXI century in Spain: A population-based nationwide study
Document Type
article
Source
Journal of Infection and Public Health, Vol 17, Iss 5, Pp 881-888 (2024)
Subject
Infective endocarditis
Epidemiology
Incidence
Mortality
Temporal trends
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Language
English
ISSN
1876-0341
Abstract
Background: Few population-based studies have evaluated the epidemiology of infective endocarditis (IE). Changes in population demographics and guidelines on IE may have affected both the incidence and outcomes of IE. Therefore, the aim of our study is to provide contemporary population-based epidemiological data of IE in Spain. Methods: Retrospective nationwide observational study using data from the Spanish National Health System Discharge Database. We included all patients hospitalized with IE from January 2000 to December 2019. Results: A total of 64,550 IE episodes were included. The incidence of IE rose from 5.25 cases/100,000 person-year in 2000 to 7.21 in 2019, with a 2% annual percentage change (95% CI 1.3–2.6). IE incidence was higher among those aged 85 or older (43.5 cases/100.000 person-years). Trends across the study period varied with sex and age.Patients with IE were progressively older (63.9 years in 2000–2004 to 70.0 in 2015–2019, p