Evidence map›Paper›PMID 29095732›Full record

SynthesisASAIO journal (American Society for Artificial Internal Organs : 1992)

Left Ventricular Assist Device Infections: A Systematic Review.

John C O'Horo, Omar M Abu Saleh, John M Stulak, Mark P Wilhelm, Larry M Baddour, M Rizwan Sohail

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in ASAIO journal (American Society for Artificial Internal Organs : 1992). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 3% 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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. LVAD specific infection with Coxiella burnetii treated with heart transplantation and antibiotic suppression.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Right ventricular failure after LVAD support: A challenging case of bridge to heart transplantation in end-stage dilated cardiomyopathy.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Article
  13. Review
  14. Diphtheria-like PseudomembranousReports (MDPI) · 2025
    Article
  15. Comparative Outcomes FollowingOpen forum infectious diseases · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

6 authors at 2 institutions in 1 country.

John C O'HoroFrom the Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
Omar M Abu SalehFrom the Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
John M StulakDivision of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
Mark P WilhelmFrom the Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
Larry M BaddourFrom the Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
M Rizwan SohailFrom the Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
Mayo Clinic · USWinnMed · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135
6 · The paper itself

Abstract

Left ventricular assist devices (LVADs) are becoming a more frequent life-support intervention. Gaining an understanding of risk factors for infection and management strategies is important for treating these patients. We conducted a systematic review and meta-analysis of studies describing infections in continuous-flow LVADs. We evaluated incidence, risk factors, associated microorganisms, and outcomes by type of device and patient characteristics. Our search identified 90 distinct studies that reported LVAD infections and outcomes. Younger age and higher body mass index were associated with higher rates of LVAD infections. Driveline infections were the most common infection reported and the easiest to treat with fewest long-term consequences. Bloodstream infections were not reported as often, but they were associated with stroke and mortality. Treatment strategies varied and did not show a consistent best approach. LVAD infections are a significant cause of morbidity and mortality in LVAD patients. Most research comes from secondary analyses of other LVAD studies. The lack of infection-oriented research leaves several areas understudied. In particular, bloodstream infections in this population merit further research. Providers need more research studies to make evidence-based decisions about the prevention and treatment of LVAD infections.

Indexed as

AdultFemaleHeart-Assist DevicesHeart FailureHumansIncidenceMaleMiddle AgedProsthesis-Related InfectionsRetrospective StudiesRisk Factors

Identifiers

PMID29095732
PMCPMC5920737
OpenAlexW2765987609

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.