{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T20:43:44Z","timestamp":1648932224941},"reference-count":11,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[1997,6]]},"abstract":"<jats:p>Estudamos a influ\u00eancia de dados demogr\u00e1ficos, fatores predisponentes, aspectos cl\u00ednicos, vari\u00e1veis operat\u00f3rias sobre a evolu\u00e7\u00e3o em 39 pacientes operados por endocardite infecciosa (EI). Utilizamos os testes t de Student, X\u00b2ou exato de Fisher em an\u00e1lises univariadas, regress\u00e3o log\u00edstica para determina\u00e7\u00e3o de fatores adversos independentes. O impacto do n\u00famero destes fatores sobre a evolu\u00e7\u00e3o foi estudado pelo teste exato de Fisher. Valvas mais afetadas: a\u00f3rtica (20) e mitral (16); germes mais comuns: Staphylococcus aureus (12) e Streptococcus sp (10). Cirurgia de emerg\u00eancia e a presen\u00e7a de coma seis horas ap\u00f3s a opera\u00e7\u00e3o elevaram a letalidade (p=0,001 e p=0,0015), bem como infec\u00e7\u00e3o pelo S.aureus (p=0,023) e presen\u00e7a de complica\u00e7\u00f5es neurol\u00f3gicas (p=0,097). A concomit\u00e2ncia de dois ou tr\u00eas destes fatores elevou particularmente a letalidade (&gt;76,9%). Pacientes com EI devem receber cuidadosa avalia\u00e7\u00e3o quanto a indica\u00e7\u00e3o cir\u00fargica nas fases iniciais da doen\u00e7a, j\u00e1 que a concomit\u00e2ncia de vari\u00e1veis adversas e cirurgias em car\u00e1ter de emerg\u00eancia elevam fortemente a letalidade por EI.<\/jats:p>","DOI":"10.1590\/s0004-282x1997000200011","type":"journal-article","created":{"date-parts":[[2010,10,28]],"date-time":"2010-10-28T02:08:57Z","timestamp":1288231737000},"page":"231-236","source":"Crossref","is-referenced-by-count":1,"title":["Fatores determinantes da letalidade ap\u00f3s cirurgia para endocardite infecciosa"],"prefix":"10.1590","volume":"55","author":[{"given":"Charles","family":"Andr\u00e9","sequence":"first","affiliation":[{"name":"UFRJ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos Martins da","family":"Silva","sequence":"additional","affiliation":[{"name":"UFRJ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo Jorge Custodio 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