Cardio-oncology & otherCohort study

Length of Hospital Stay for Endocarditis Before and After the Partial Oral Treatment of Endocarditis Trial

J Am Coll CardiolPublished

  • Nationwide registry-based cohort study
  • before-and-after comparison
  • Danish nationwide registries

Authors' conclusion

Following the POET trial, we found a reduction in median LOS of 8 days with no change in mortality and an associated lower rate of relapse of bacteremia.

Study context

Population
Patients with first-time infective endocarditis (IE) caused by Streptococcus spp., Enterococcus faecalis, Staphylococcus aureus or coagulase-negative staphylococci, Denmark, 2012–2021
Participants
3,008 vs 1,740
Exposure
After vs before POET trial publication
  • Before POETn = 3,008reference
  • After POETn = 1,740
Outcome
Median length of hospital stay

Main finding

Length of hospital stay

Median decrease

8 days

P < 0.0001

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mortality · 180 days

P = 0.41

LOS by microbiological etiology, age group and surgical treatment

Similar reductions in LOS across microbiological etiologies and age groups
Reduction in LOS most pronounced in nonsurgically treated patients

Safety

Bacteremia relapse · 180 days

P = 0.0002

Original publication

Length of Hospital Stay for Endocarditis Before and After the Partial Oral Treatment of Endocarditis Trial. J Am Coll Cardiol. Published 3 December 2024. doi:10.1016/j.jacc.2024.06.053

Summarised from the published abstract; every number is checked against it