Infective Endocarditis as the Cause of Death: A Population based Study in Portugal, from 2002 to 2018

Authors

  • Catarina de Sousa Centro Cardiovascular da Universidade de Lisboa (CCUL). Faculdade de Medicina. Universidade de Lisboa. Lisboa. Serviço de Cardiologia. Centro Hospitalar Barreiro/Montijo (CHBM). Barreiro. https://orcid.org/0000-0003-1709-6283
  • Ruy M. Ribeiro Laboratório de Biomatemática. Instituto de Saúde Ambiental. Faculdade de Medicina. Universidade de Lisboa. Lisboa. https://orcid.org/0000-0002-3988-8241
  • Fausto J. Pinto Centro Cardiovascular da Universidade de Lisboa (CCUL). Faculdade de Medicina. Universidade de Lisboa. Lisboa. Departamento Coração e Vasos. Centro Hospitalar e Universitário Lisboa Norte (CHULN). Lisboa. https://orcid.org/0000-0002-8034-4529

DOI:

https://doi.org/10.20344/amp.14609

Keywords:

Endocarditis/epidemiology, Endocarditis/mortality, Portugal, Seasons

Abstract

Introduction: Infective endocarditis presents a high rate of morbidity and mortality. Population-based studies addressing mortality caused by infective endocarditis in Portugal are scarce. We aimed to study deaths caused by Infective endocarditis, as well as corresponding demographics and temporal trends.
Material and Methods: Retrospective cohort study of all patients whose main cause of death was Infective endocarditis in Portugal from 2002 to 2018. The data was obtained from the national death certificate information system.
Results: In Portugal, 3634 people died from infective endocarditis throughout the 17-year study period - infective endocarditis specific mortality rate of 2.1 per 100 000 habitants. Of all deceased, 89% were at least 60 years old, and most were women (55%). Overall, 72% died in a healthcare institution. An annual 9% increase in the incidence death rate from Infective endocarditis was observed, with a significant upward trend during the colder months.
Discussion: In Portugal, mortality by infective endocarditis increased, mainly affecting older patients and women, and which can partially be explained by factors such as ageing of the population. The management of older patients with infective endocarditis is challenging as they present a higher number of comorbidities, more valvular heart disease and valve implants, invasive medical procedures and are less likely to undergo cardiac surgery.
Conclusion: In addition to data on the evolution of demographics in Portugal, it is crucial to study the incidence of infective endocarditis over time to help explain these findings. The identification of factors that can be used to better model national health policies to improve clinical outcomes of infective endocarditis in Portugal is also required.

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Author Biographies

Catarina de Sousa, Centro Cardiovascular da Universidade de Lisboa (CCUL). Faculdade de Medicina. Universidade de Lisboa. Lisboa. Serviço de Cardiologia. Centro Hospitalar Barreiro/Montijo (CHBM). Barreiro.

1. Centro Cardiovascular Universidade de Lisboa

2. Serviço de cardiologia

Ruy M. Ribeiro, Laboratório de Biomatemática. Instituto de Saúde Ambiental. Faculdade de Medicina. Universidade de Lisboa. Lisboa.

Laboratório de Biomatemática

Fausto J. Pinto, Centro Cardiovascular da Universidade de Lisboa (CCUL). Faculdade de Medicina. Universidade de Lisboa. Lisboa. Departamento Coração e Vasos. Centro Hospitalar e Universitário Lisboa Norte (CHULN). Lisboa.

1. Centro Cardiovascular Universidade de Lisboa

2. Departamento Coração e Vasos

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Published

2021-12-02

How to Cite

1.
de Sousa C, Ribeiro RM, Pinto FJ. Infective Endocarditis as the Cause of Death: A Population based Study in Portugal, from 2002 to 2018. Acta Med Port [Internet]. 2021 Dec. 2 [cited 2024 Mar. 29];34(12):833-41. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/14609

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Original