This prospective cohort of 2781 patients describes the contemporary (2000-2005) presentation, etiology, and outcomes of infective endocarditis. The disease affected native valves 72% of the time, most commonly mitral (41%) followed by aortic (38%), and the most common organism was staph aureas (31%). Complication rates were high, including CHF (32%), stroke (17%), other emboli (23%), and abcess (14%). In hospital death was 18%, and higher risk for death included older age, staph organism, prosthetic valve, mitral location, and the presence of CHF. Risk of death was lower for strep viridans. (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.