Evidence map›Paper›PMID 29716704›Full record

ArticleIndian heart journal

Clinical - microbiological characterization and risk factors of mortality in infective endocarditis from a tertiary care academic hospital in Southern India.

Prasanna Subbaraju, Shipra Rai, Jwalit Morakhia, Geet Midha, Asha Kamath, Kavitha Saravu

Open access · goldAbstract read
In one paragraph

Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Infective endocarditis in developing countries: An update.Frontiers in cardiovascular medicine · 2022
    Review
  5. Article
  6. Article
  7. Microbiological and Clinicoepidemiological Profile of a Series of Patients with Infective Endocarditis at a Center in Eastern Nepal.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2021
    Article
  8. Factors associated with unfavorable outcome in a multicenter audit of 100 infective endocarditis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019
    Article
  9. 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.

Prasanna SubbarajuDepartment of Medicine, Kasturba Medical College, Manipal University, Manipal, India.
Shipra RaiDepartment of Medicine, Kasturba Medical College, Manipal University, Manipal, India.
Jwalit MorakhiaDepartment of Cardiology, Kasturba Medical College, Manipal University, Manipal, Madhav Nagar, Karnataka, India.
Geet MidhaDepartment of Medicine, Kasturba Medical College, Manipal University, Manipal, India.
Asha KamathDepartment of Community Medicine, Kasturba Medical College, Manipal University, Manipal, Madhav Nagar, Karnataka, India.
Kavitha SaravuDepartment of Medicine, Kasturba Medical College, Manipal University, Manipal, India; Manipal McGill Center for Infectious Diseases, Manipal, India. Electronic address: kavithasaravu@gmail.com.
Kasturba Medical College, Manipal · INManipal Academy of Higher Education · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo dissect the clinical-microbiological profile of Infective endocarditis (IE) population and to determine the risk factors for IE related mortality.

methodsA cohort study was conducted using relevant data from clinical records of patients (≥12years) with definite/possible IE from December 2007 to December 2013 and was analyzed using appropriate statistical tests.

resultsIn the cohort of 139 IE patients, mean age was 47.9±15.8years, with male preponderance (68.3%). Rheumatic heart disease was the commonest (30.9%) underlying cardiac lesion followed by mitral valve prolapse with mitral regurgitation (23.7%), degenerative valvular disease (23%), congenital heart disease (15.8%) and prosthetic valves (3.6%). Vegetations were detected in 94.2% cases. Blood cultures were positive in 69.8% cases, commonest organism isolated was α - hemolytic streptococci (30.9%) followed by Enterococcus (12.9%) and methicillin sensitive Staphylococcus aureus (10.8%). Complications observed were congestive cardiac failure (31.2%), acute kidney injury (25.9%), stroke (21.6%), septic shock (16.5%), embolic phenomenon non-stroke (8.6%), atrial fibrillation (5%) and ring abscess (2.9%). Mortality rate was 17.3%. Congestive cardiac failure, increase in the peak leucocyte count and stroke were the independent predictors of mortality.

conclusionsThis study reiterates the persistent dominance of rheumatic heart disease in the population studied and α - hemolytic Streptococci as the commonest responsible microorganism.

Indexed as

Tertiary Care CentersAdolescentAdultAgedChildEchocardiographyEndocarditisFemaleFollow-Up StudiesHumansIndiaMaleMiddle AgedRetrospective StudiesRheumatic Heart DiseaseRisk AssessmentInfective endocarditisMitral regurgitationRheumatic heart diseaseα – Hemolytic streptococci

Identifiers

PMID29716704
PMCPMC5993930
OpenAlexW2746535481

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.