Factors that reduce mortality in injection drug users with heart valve infection

Factors that reduce mortality in injection drug users with heart valve infection


So, endocarditis is an infection of heart
valves. It’s commonly associated with injection drug use and it can be a
catastrophic complication where people have very high mortality and often can
develop heart failure or stroke. So the main thing we wanted to know is what
factors were associated with survival because the mortality can be very high.
And what we found was that being referred to an addiction specialist
dramatically improved mortality and also it has been controversial in the past
whether surgery would help or not. What we found that surgery was also strongly
associated with a reduced death rate. My role has been sort of as a addiction
specialist and palliative care physician – kind of a bit of a combined role. One of
the main reasons people leave hospital especially very shortly after they’re
admitted is because they’re in withdrawal. So when I see a patient, one
of the first things I try to do is about the relationship and rapport and to
prevent them from going into withdrawal. I think that we have made a really good
case of first what we might think might work to provide better care for some of
these individuals, and then to ask better questions about what can we do
differently with their care and what other things can we can we look into to
see if we can find more differences or more meaningful information to support
what we do and how we practice.


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