Evidence map›Paper›PMID 30590480›Full record

SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Drug Use and Postoperative Mortality Following Valve Surgery for Infective Endocarditis: A Systematic Review and Meta-analysis.

Ryan Hall, Michael Shaughnessy, Griffin Boll, Kenneth Warner, Helen W Boucher, Raveendhara R Bannuru, Alysse G Wurcel

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Infective endocarditis: it takes a team.European heart journal · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Applying the Infectious Diseases Literature to People who Inject Drugs.Infectious disease clinics of North America · 2020
    Review
  20. Review
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

7 authors.

Ryan HallTufts University School of Medicine, Boston, Massachusetts.
Michael ShaughnessyTufts University School of Medicine, Boston, Massachusetts.
Griffin BollDivision of Cardiac Surgery, Department of Surgery, Tufts University School of Medicine, Boston, Massachusetts.
Kenneth WarnerDivision of Cardiac Surgery, Department of Surgery, Tufts University School of Medicine, Boston, Massachusetts.
Helen W BoucherTufts University School of Medicine, Boston, Massachusetts.
Raveendhara R BannuruCenter for Treatment Comparison and Integrative Analysis, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts.
Alysse G WurcelDivision of Geographic Medicine and Infectious Diseases, Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts.

Funding

CTSA Institutional Mentored Career Development Program (KL2)KL2TR002545 · NCATS · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN · 2018 to 2022
$5.0M
NCATS NIH HHS KL2 TR002545
6 · The paper itself

Abstract

backgroundInfective endocarditis (IE) often requires surgical intervention. An increasingly common cause of IE is injection drug use (IDU-IE). There is conflicting evidence on whether postoperative mortality differs between people with IDU-IE and people with IE from etiologies other than injection drug use (non-IDU-IE). In this manuscript, we compare short-term postoperative mortality in IDU-IE vs non-IDU-IE through systematic review and meta-analysis.

methodsThe review was conducted according to the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Publication databases were queried for key terms included in articles up to September 2017. Randomized controlled trials, prospective cohorts, or retrospective cohorts that reported on 30-day mortality or in-hospital/operative mortality following valve surgery and that compared outcomes between IDU-IE and non-IDU-IE were included.

resultsThirteen studies with 1593 patients (n = 341 [21.4%] IDU-IE) were included in the meta-analysis. IDU-IE patients more frequently had tricuspid valve infection, Staphylococcus infection, and heart failure before surgery. Meta-analysis revealed no statistically significant difference in 30-day postsurgical mortality or in-hospital mortality between the 2 groups.

conclusionsDespite differing preoperative clinical characteristics, early postoperative mortality does not differ between IDU-IE and non-IDU-IE patients who undergo valve surgery. Future research on long-term outcomes following valve replacement is needed to identify opportunities for improved healthcare delivery with IDU-IE.

Indexed as

Postoperative ComplicationsCause of DeathEndocarditisEndocarditis, BacterialFemaleHeart Valve Prosthesis ImplantationHospital MortalityHumansMaleMortalityOdds RatioSubstance Abuse, IntravenousSubstance-Related DisordersTime Factorsendocarditisinjection drug usepostoperative mortalityvalve surgery

Identifiers

PMID30590480
PMCPMC6743840

What OpenQuestion holds

Textmetadata
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.