{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T11:46:10Z","timestamp":1774525570130,"version":"3.50.1"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2018,10,20]],"date-time":"2018-10-20T00:00:00Z","timestamp":1539993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The use of valve surgery for infective endocarditis (IE) in end-stage renal disease (ESRD) patients may be different than in the general population. We assessed predictors of early surgery in ESRD patients with IE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a retrospective cohort study among dialysis patients with left-sided IE between 2005 and 2015. Indications for surgery were based on current endocarditis guidelines. Patients were categorized as early valve replacement surgery or delayed\/no surgery. We used logistic regression to determine independent predictors of early surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 229 patients, 67 (29.3%) underwent early surgery. New congestive heart failure was the only high level of evidence indication independently associated with early surgery (odds ratio [OR], 12.1; 95% confidence interval [CI], 3.4\u201343.6). Transfer from outside hospital (OR, 5.4; 95% CI, 2.2\u201313.3), valve rupture (OR, 6.9; 95% CI, 2.6\u201317.9), coagulase-negative staphylococcus etiology (OR, 3.8; 95% CI, 1.4\u201310.6), and presence of any low level of evidence indication (OR, 5.9; 95% CI, 2.2\u201315.5) predicted early surgery. Preexisting valve disease (OR, 0.31; 95% CI, 0.12\u20130.82) and surgical contraindications (OR, 0.05; 95% CI, 0.005\u20130.4) predicted nonsurgical treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Among ESRD patients with IE, most surgical indications are not predictive of early surgery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ofid\/ofy265","type":"journal-article","created":{"date-parts":[[2018,10,20]],"date-time":"2018-10-20T09:03:06Z","timestamp":1540026186000},"source":"Crossref","is-referenced-by-count":4,"title":["Predictors of Surgical Intervention in Dialysis Patients With Infective Endocarditis"],"prefix":"10.1093","volume":"5","author":[{"given":"John A","family":"Woller III","sequence":"first","affiliation":[{"name":"Emory University School of Medicine, Atlanta, Georgia"},{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria L","family":"Walsh","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Atlanta, Georgia"},{"name":"Department of Medicine, Atlanta, Georgia"},{"name":"Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chad","family":"Robichaux","sequence":"additional","affiliation":[{"name":"Department of Medicine, Atlanta, Georgia"},{"name":"Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinod H","family":"Thourani","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, MedStar Heart & Vascular Institute, MedStar Health, Columbia, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse T","family":"Jacob","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Atlanta, Georgia"},{"name":"Department of Medicine, Atlanta, Georgia"},{"name":"Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2018,10,20]]},"reference":[{"key":"2020081010563632200_CIT0001","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/00000441-200405000-00019","article-title":"Bacteremia and infective endocarditis in patients on hemodialysis","volume":"327","author":"Maraj","year":"2004","journal-title":"Am J Med Sci"},{"key":"2020081010563632200_CIT0002","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1053\/j.ajkd.2008.06.014","article-title":"Vascular access-related infections: definitions, incidence rates, and risk factors","volume":"52","author":"Lafrance","year":"2008","journal-title":"Am J Kidney 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