Evidence map›Paper›PMID 28205683›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Cardiovascular Complications and Short-term Mortality Risk in Community-Acquired Pneumonia.

Francesco Violi, Roberto Cangemi, Marco Falcone, Gloria Taliani, Filippo Pieralli, Vieri Vannucchi, Carlo Nozzoli, Mario Venditti, Julio A Chirinos, Vicente F Corrales-Medina and 1 more

Erratum issued Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07708610 (Preadmission GLP-1 Receptor Agonist Plus SGLT2 Inhibitor Use and Early Outcomes After Pneumonia Hospitalization in Adults With Type 2 Diabetes), which is not on this map. Cited by 102 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 3 pooled it
15.4field-weighted citation impact, top 1% 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.

NCT07708610 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Preadmission GLP-1 Receptor Agonist Plus SGLT2 Inhibitor Use and Early Outcomes After Pneumonia Hospitalization in Adults With Type 2 Diabetes: A Target Trial Emulation

TypeobservationalSponsorChung Shan Medical UniversityRan2026 to 2026Enrolled71,775ConditionsPneumonia, Type 2 Diabetes Mellitus (T2DM)
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 3 syntheses or guidelines pooled it, 217 citations in OpenAlex.

  1. Pooled it
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  11. Cardiac Manifestations of Mycoplasma pneumoniae Infections: A Cohort Study 2007-2024.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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  14. Review
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  20. Immune mediators in heart-lung communication.Pflugers Archiv : European journal of physiology · 2025
    Review

42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Francesco VioliDepartment of Internal Medicine and Medical Specialties.
Roberto CangemiDepartment of Internal Medicine and Medical Specialties.
Marco FalconeDepartment of Public Health and Infectious Diseases, and.
Gloria TalianiInfectious and Tropical Diseases Unit, Department of Clinical Medicine, Sapienza University of Rome, and.
Filippo PieralliInternal and Emergency Medicine Unit, Careggi University Hospital, Florence, Italy.
Vieri VannucchiInternal and Emergency Medicine Unit, Careggi University Hospital, Florence, Italy.
Carlo NozzoliInternal and Emergency Medicine Unit, Careggi University Hospital, Florence, Italy.
Mario VendittiDepartment of Public Health and Infectious Diseases, and.
Julio A ChirinosDivision of Cardiology, University of Pennsylvania, Philadelphia.
Vicente F Corrales-MedinaDepartment of Medicine, University of Ottawa, and.
SIXTUS (Thrombosis-Related Extrapulmonary Outcomes in Pneumonia) Study Group
Azienda Ospedaliero-Universitaria Careggi · ITSapienza University of Rome · ITUniversity of Ottawa · CAUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND.: Previous reports suggest that community-acquired pneumonia (CAP) is associated with an enhanced risk of cardiovascular complications. However, a contemporary and comprehensive characterization of this association is lacking. METHODS.: In this multicenter study, 1182 patients hospitalized for CAP were prospectively followed for up to 30 days after their hospitalization for this infection. Study endpoints included myocardial infarction, new or worsening heart failure, atrial fibrillation, stroke, deep venous thrombosis, cardiovascular death, and total mortality. RESULTS.: Three hundred eighty (32.2%) patients experienced intrahospital cardiovascular events (CVEs) including 281 (23.8%) with heart failure, 109 (9.2%) with atrial fibrillation, 89 (8%) with myocardial infarction, 11 (0.9%) with ischemic stroke, and 1 (0.1%) with deep venous thrombosis; 28 patients (2.4%) died for cardiovascular causes. Multivariable Cox regression analysis showed that intrahospital Pneumonia Severity Index (PSI) class (hazard ratio [HR], 2.45, P = .027; HR, 4.23, P < .001; HR, 5.96, P < .001, for classes III, IV, and V vs II, respectively), age (HR, 1.02, P = .001), and preexisting heart failure (HR, 1.85, P < .001) independently predicted CVEs. One hundred three (8.7%) patients died by day 30 postadmission. Thirty-day mortality was significantly higher in patients who developed CVEs compared with those who did not (17.6% vs 4.5%, P < .001). Multivariable Cox regression analysis showed that intrahospital CVEs (HR, 5.49, P < .001) independently predicted 30-day mortality (after adjustment for age, PSI score, and preexisting comorbid conditions). CONCLUSIONS.: CVEs, mainly those confined to the heart, complicate the course of almost one-third of patients hospitalized for CAP. More importantly, the occurrence of CVEs is associated with a 5-fold increase in CAP-associated 30-day mortality.

Indexed as

AgedArrhythmias, CardiacCardiovascular DiseasesCohort StudiesCommunity-Acquired InfectionsFemaleHospitalizationHumansItalyMaleMiddle AgedMyocardial InfarctionPneumoniaProportional Hazards ModelsRisk FactorsStrokecardiovascular eventsmortality.pneumonia

Identifiers

PMID28205683
OpenAlexW2588646505

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.