Clinical and Diagnostic Features of Endocarditis
Observational Prospective Multicenter Study to Characterize the CLinical and DiagnoStiC FeAtures of Endocarditis in the ContemPorary Era
University Hospital of Ferrara
500 participants
Sep 9, 2022
OBSERVATIONAL
Conditions
Summary
The burden of endocarditis has changed in the last years due to an increase in percutaneous valve procedures offered to a more fragile, and old population. Therefore an update in epidemiology data is necessary. The Observational prospective multicenter study to characterize the cLinical ANd DiagnoStiC feAtures of endocarditis in the contemPorary Era, (ENDO-LANDSCAPE study) is an observational, multicenter and international study. The study has two arms: retrospective and prospective. The retrospective arm will involve collecting data from patients discharged with a diagnosis of endocarditis between 2016 and 2022. The data obtained in the retrospective arm of the study will be utilized in a power calculation to determine the sample size for the prospective arm of the study. In the prospective phase in every participating center, all patients referred for echocardiography to assess for endocarditis and those with established endocarditis independent of the screened request will be eligible. Patients will then be stratified according to the presence or abscence of endocarditis. Those with an established diagnosis of endocarditis will be prospectively followed for outcomes.
Eligibility
Inclusion Criteria3
- Patients above the age of 18 years.
- all consecutive patients referred for echocardiography (transthoracic or transesophageal approach) to exclude endocarditis.
- patients with a diagnosis of endocarditis on echocardiography independently by the request for the exam.
Exclusion Criteria1
- patient's refusal.
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Interventions
In all patients with high suspected or confirmed endocarditis at the echocardiography the following information will be collected: 1) endocarditis risk factors, 2) type, size and position of infected valve or prosthesis, 3) echocardiographic data; 4) imaging technique used for diagnosis in addition to echocardiography; 5) management of the case performed by the endocarditis team (including cardiologist, microbiologist, cardiac surgeon, radiologist); 6) Duke criteria verification; 7) management of the case (conservative or invasive); 8) antibiotic therapy prescribed and timing; 9) follow-up at one year (death, cardiac surgery, stroke, re-infection).
Locations(1)
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NCT05547607