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External Validation...
External Validation of the 2023 Duke-International Society for Cardiovascular Infectious Diseases Diagnostic Criteria for Infective Endocarditis
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- Van Der Vaart, Thomas W. (författare)
- Duke University Medical Center,Academic Medical Center of University of Amsterdam (AMC),Duke Clinical Research Institute (DCRI)
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- Bossuyt, Patrick M.M. (författare)
- Academic Medical Center of University of Amsterdam (AMC)
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- Durack, David T. (författare)
- Duke University Medical Center
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- Baddour, Larry M. (författare)
- Mayo Clinic Minnesota
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- Bayer, Arnold S. (författare)
- University of California, Los Angeles
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- Durante-Mangoni, Emanuele (författare)
- University of Campania Luigi Vanvitelli
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- Holland, Thomas L. (författare)
- Duke University Medical Center,Duke Clinical Research Institute (DCRI)
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- Karchmer, Adolf W. (författare)
- Harvard Medical School
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- Miro, Jose M. (författare)
- University of Barcelona
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- Moreillon, Philippe (författare)
- University of Lausanne
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- Rasmussen, Magnus (författare)
- Lund University,Lunds universitet,Infektionsmedicin,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Translationell infektionsmedicin,Forskargrupper vid Lunds universitet,Infection Medicine (BMC),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Translational infection medicine,Lund University Research Groups
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- Selton-Suty, Christine (författare)
- University Hospital of Nancy
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- Fowler, Vance G. (författare)
- Duke University Medical Center,Duke Clinical Research Institute (DCRI)
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- Van Der Meer, Jan T.M. (författare)
- Academic Medical Center of University of Amsterdam (AMC)
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(creator_code:org_t)
- 2024
- 2024
- Engelska 8 s.
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Ingår i: Clinical Infectious Diseases. - 1058-4838. ; 78:4, s. 922-929
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background. The 2023 Duke-International Society of Cardiovascular Infectious Diseases (ISCVID) criteria for infective endocarditis (IE) were introduced to improve classification of IE for research and clinical purposes. External validation studies are required. Methods. We studied consecutive patients with suspected IE referred to the IE team of Amsterdam University Medical Center (from October 2016 to March 2021). An international expert panel independently reviewed case summaries and assigned a final diagnosis of "IE"or "not IE,"which served as the reference standard, to which the "definite"Duke-ISCVID classifications were compared. We also evaluated accuracy when excluding cardiac surgical and pathologic data ("clinical"criteria). Finally, we compared the 2023 Duke- ISCVID with the 2000 modified Duke criteria and the 2015 and 2023 European Society of Cardiology (ESC) criteria. Results. A total of 595 consecutive patients with suspected IE were included: 399 (67%) were adjudicated as having IE; 111 (19%) had prosthetic valve IE, and 48 (8%) had a cardiac implantable electronic device IE. The 2023 Duke-ISCVID criteria were more sensitive than either the modified Duke or 2015 ESC criteria (84.2% vs 74.9% and 80%, respectively; P < .001) without significant loss of specificity. The 2023 Duke-ISCVID criteria were similarly sensitive but more specific than the 2023 ESC criteria (94% vs 82%; P < .001). The same pattern was seen for the clinical criteria (excluding surgical/pathologic results). New modifications in the 2023 Duke-ISCVID criteria related to "major microbiological"and "imaging"criteria had the most impact. Conclusions. The 2023 Duke-ISCVID criteria represent a significant advance in the diagnostic classification of patients with suspected IE.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- diagnosis
- Duke criteria
- infective endocarditis
- validation
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- art (ämneskategori)
- ref (ämneskategori)
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Van Der Vaart, T ...
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Bossuyt, Patrick ...
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Durack, David T.
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Baddour, Larry M ...
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Bayer, Arnold S.
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Durante-Mangoni, ...
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Holland, Thomas ...
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Karchmer, Adolf ...
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Miro, Jose M.
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Moreillon, Phili ...
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Rasmussen, Magnu ...
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Selton-Suty, Chr ...
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Fowler, Vance G.
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Van Der Meer, Ja ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
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Clinical Infecti ...
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Lunds universitet