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Compared Performance of the 2023 Duke-International Society for Cardiovascular Infectious Diseases, the 2000 Modified Duke, and the 2015 ESC Criteria for the Diagnosis of Infective Endocarditis in a French Multicenter Prospective Cohort

dc.rights.licenseopenen_US
dc.contributor.authorGOEHRINGER, Francois
dc.contributor.authorLALLOUE, Benoit
dc.contributor.authorSELTON-SUTY, Christine
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorALLA, Francois
dc.contributor.authorBOTELHO-NEVERS, Elisabeth
dc.contributor.authorCHIROUZE, Catherine
dc.contributor.authorCURLIER, Elodie
dc.contributor.authorEL HATIMI, Safwane
dc.contributor.authorGAGNEUX-BRUNON, Amandine
dc.contributor.authorLE MOING, Vincent
dc.contributor.authorLIM, Pascal
dc.contributor.authorPIROTH, Lionel
dc.contributor.authorSTRADY, Christophe
dc.contributor.authorTRIBOUILLOY, Christophe
dc.contributor.authorVIRION, Jean-Marc
dc.contributor.authorAGRINIER, Nelly
dc.contributor.authorDUVAL, Xavier
dc.contributor.authorHOEN, Bruno
dc.date.accessioned2024-03-14T14:55:49Z
dc.date.available2024-03-14T14:55:49Z
dc.date.issued2024-02-08
dc.identifier.issn1537-6591 (Electronic) 1058-4838 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/188801
dc.description.abstractEnBACKGROUND: The 2023 Duke-ISCVID Criteria for infective endocarditis (IE) were proposed as an updated diagnostic classification of IE. Using an open prospective multicenter cohort of patients treated for IE, we compared the performance of these new criteria to that of the 2000 Modified Duke and 2015 ESC criteria. METHODS: Cases of patients treated for IE between January 2017 and October 2022 were adjudicated as certain IE or not. Each case was also categorized as either definite or possible/rejected within each classification. Sensitivity, specificity, and accuracy were estimated, with 95% confidence intervals. RESULTS: Of the 1194 patients analyzed (mean age 66.1 years, 71.2% men), 414 (34.7%) had a prosthetic valve and 284 (23.8%) had a cardiac implanted electronic device (CIED); 946 (79.2%) were adjudicated as certain IE; 978 (81.9%), 997 (83.5%), and 1057 (88.5%) were classified as definite IE in the 2000 modified Duke, 2015 ESC, and 2023 Duke-ISCVID criteria, respectively. The sensitivity of each set of criteria was 93.2% [91.6-94.8], 95.0% [93.7-96.4], and 97.6% [96.6-98.6], respectively (p<.001 for all 2-by-2 comparisons). Corresponding specificity rates were 61.3% [55.2-67.4), 60.5% [54.4-66.6], and 46.0% [39.8-52.2], respectively. In patients without CIED, sensitivity rates were 94.8% [93.2-96.4], 96.5% [95.1-97.8], and 97.7% [96.6-98.8] and specificity rates were 59.0% [51.6-66.3], 56.6% [49.3-64.0], and 53.8% [46.3-61.2], respectively. CONCLUSION: Overall, the 2023 Duke-ISCVID criteria had a significantly higher sensitivity but a significantly lower specificity, compared to older criteria. This decreased specificity was mainly attributable to patients with CIED.
dc.language.isoENen_US
dc.subject.enInfective endocarditis
dc.subject.en2023 Duke–ISCVID criteria
dc.subject.enSensitivity
dc.subject.enSpecificity
dc.subject.enAccuracy
dc.title.enCompared Performance of the 2023 Duke-International Society for Cardiovascular Infectious Diseases, the 2000 Modified Duke, and the 2015 ESC Criteria for the Diagnosis of Infective Endocarditis in a French Multicenter Prospective Cohort
dc.title.alternativeClin Infect Disen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1093/cid/ciae035en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed38330171en_US
bordeaux.journalClinical Infectious Diseasesen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04505092
hal.version1
hal.date.transferred2024-03-14T14:55:52Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=Clinical%20Infectious%20Diseases&amp;rft.date=2024-02-08&amp;rft.eissn=1537-6591%20(Electronic)%201058-4838%20(Linking)&amp;rft.issn=1537-6591%20(Electronic)%201058-4838%20(Linking)&amp;rft.au=GOEHRINGER,%20Francois&amp;LALLOUE,%20Benoit&amp;SELTON-SUTY,%20Christine&amp;ALLA,%20Francois&amp;BOTELHO-NEVERS,%20Elisabeth&amp;rft.genre=article


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