Evidence map›Paper›PMID 24376617›Full record

ArticlePloS one2013

Effect of statin therapy in the outcome of bloodstream infections due to Staphylococcus aureus: a prospective cohort study.

Luis E López-Cortés, Juan Gálvez-Acebal, María D Del Toro, Carmen Velasco, Marina de Cueto, Francisco J Caballero, Miguel A Muniain, Alvaro Pascual, Jesús Rodríguez-Baño

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. Article
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  6. Review
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  8. Protective efficacy of statins in patients withFrontiers in cellular and infection microbiology · 2022
    Article
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  10. Review
  11. Optimal duration for continuation of statin therapy in bacteremic patients.Therapeutic advances in infectious disease · 2018
    Article
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  19. Prior statin use and 90-day mortality in Gram-negative and Gram-positive bloodstream infection: a prospective observational study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2015
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Luis E López-CortésUnidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Seville, Spain.
Juan Gálvez-AcebalUnidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Seville, Spain ; Spanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain ; Departamento de Medicina, Universidad de Sevilla, Seville, Spain.
María D Del ToroUnidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Seville, Spain ; Spanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain ; Departamento de Medicina, Universidad de Sevilla, Seville, Spain.
Carmen VelascoSpanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain ; Departamento de Microbiología, Universidad de Sevilla, Seville, Spain.
Marina de CuetoUnidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Seville, Spain ; Spanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain.
Francisco J CaballeroSpanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain.
Miguel A MuniainUnidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Seville, Spain ; Spanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain ; Departamento de Medicina, Universidad de Sevilla, Seville, Spain.
Alvaro PascualUnidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Seville, Spain ; Spanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain ; Departamento de Microbiología, Universidad de Sevilla, Seville, Spain.
Jesús Rodríguez-BañoUnidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Seville, Spain ; Spanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain ; Departamento de Medicina, Universidad de Sevilla, Seville, Spain.
Instituto de Salud Carlos III · ESUniversidad de Sevilla · ESHospital Universitario Virgen Macarena · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStatins have pleiotropic effects that could influence the prevention and outcome of some infectious diseases. There is no information about their specific effect on Staphylococcus aureus bacteremia (SAB).

methodsA prospective cohort study including all SAB diagnosed in patients aged ≥18 years admitted to a 950-bed tertiary hospital from March 2008 to January 2011 was performed. The main outcome variable was 14-day mortality, and the secondary outcome variables were 30-day mortality, persistent bacteremia (PB) and presence of severe sepsis or septic shock at diagnosis of SAB. The effect of statin therapy at the onset of SAB was studied by multivariate logistic regression and Cox regression analysis, including a propensity score for statin therapy.

resultsWe included 160 episodes. Thirty-three patients (21.3%) were receiving statins at the onset of SAB. 14-day mortality was 21.3%. After adjustment for age, Charlson index, Pitt score, adequate management, and high risk source, statin therapy had a protective effect on 14-day mortality (adjusted OR = 0.08; 95% CI: 0.01-0.66; p = 0.02), and PB (OR = 0.89; 95% CI: 0.27-1.00; p = 0.05) although the effect was not significant on 30-day mortality (OR = 0.35; 95% CI: 0.10-1.23; p = 0.10) or presentation with severe sepsis or septic shock (adjusted OR = 0.89; CI 95%: 0.27-2.94; p = 0.8). An effect on 30-day mortality could neither be demonstrated on Cox analysis (adjusted HR = 0.5; 95% CI: 0.19-1.29; p = 0.15).

conclusionsStatin treatment in patients with SAB was associated with lower early mortality and PB. Randomized studies are necessary to identify the role of statins in the treatment of patients with SAB.

Indexed as

AgedAnti-Bacterial AgentsBacteremiaFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedProportional Hazards ModelsProspective StudiesShock, SepticStaphylococcal InfectionsStaphylococcus aureusSurvival AnalysisTertiary Health CareTreatment OutcomeAnti-Bacterial AgentsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID24376617
PMCPMC3871563
OpenAlexW2138125130

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.