IMPACT OF FINANCIAL CONSTRAINTS ON SURVIVAL OUTCOMES IN PATIENTS WITH INFECTIVE ENDOCARDITIS

Objectives: To find out how resource constraint cost influences the survival of patients diagnosed with IE in a hospital setting in Pakistan. Materials and Methods: The target population of this retrospective cohort study was 120 patients who had received an IE diagnosis at Peshawar Institute of Cardiology, Pakistan from January 2022 to December 2023. Making of some data includes demographic characteristics, concurrent diseases, microbiological results, delays in treating period due to financial problems, and survival status. For identification of the relationship between restrictions by financial resources and survival, the multivariate regression test models were used. Results: Overall, 120 parties admitted to facing financial difficulties in availing diagnostic and treatment services with 42 percent of them being patients.  Patients with impaired financial status had more in-hospital (25% vs 10%, p < 0.05) and overall (35% vs 15%, p < 0.05) mortality rates. Multivariate analysis revealed that financial constraints were independently associated with poorer survival outcomes (HR: 1.9, p < 0.05). Conclusion: Limited financial resources remain an essential determinant of the outcome of infective endocarditis inflammatory processes, demonstrating the necessity of increasing access to medical care in low-income countries.