Evidence map›Paper›PMID 32100188›Full record

ArticleInfection2020

Left-sided infective endocarditis in persons who inject drugs.

Glen Huang, Kyle A Davis, S Allan Petty, Walter A Tan, Erin W Barnes, James E Peacock

Abstract read
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In one paragraph

Article in Infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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 1 institution in 1 country.

Glen HuangDepartment of Internal Medicine, Wake Forest Baptist Health, Winston-Salem, NC, 27157, USA. huanglen@gmail.com.
Kyle A DavisDepartment of Pharmacy, Wake Forest Baptist Health, Winston-Salem, NC, 27157, USA.
S Allan PettySections On Cardiology, Wake Forest Baptist Health, Winston-Salem, NC, 27157, USA.
Walter A TanDepartment of Internal Medicine, Wake Forest Baptist Health, Winston-Salem, NC, 27157, USA.
Erin W BarnesDepartment of Internal Medicine, Wake Forest Baptist Health, Winston-Salem, NC, 27157, USA.
James E PeacockDepartment of Internal Medicine, Wake Forest Baptist Health, Winston-Salem, NC, 27157, USA.
Atrium Health Wake Forest Baptist · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to describe left-sided infective endocarditis (LSIE) in persons who inject drugs (PWID) and compare that group to PWID with non-LSIE and to non-PWID with LSIE.

methodsRetrospective single-center study of adult IE patients from 2011 to 2018.

resultsOf the 333 patients in our cohort, 54 were PWID with LSIE, 75 were PWID with non-LSIE, and 204 were non-PWID with LSIE. When comparing LSIE vs non-LSIE in PWID, the LSIE group was older (median age 35 vs 28.5, p < 0.01), had fewer S. aureus infections (59% vs 92%, p < 0.01), was more likely to have cardiac surgery (31% vs 13%, p < 0.01), and had a higher 10-week mortality (22% vs 5%, p < 0.01). When comparing PWID with LSIE to non-PWID with LSIE, the PWID group were younger (median age 35 vs 46, p < 0.01); had more frequent multi-valve involvement (33% vs 19%, p = 0.04), Staphylococcus aureus infections (54% vs 27%, p < 0.01), and previous IE (24% vs 8%, p < 0.01); and experienced more strokes (54% vs 31%, p < 0.01). Ten-week mortality was similar for LSIE in both PWID and non-PWID (24% vs 20%, p = 0.47).

conclusionsLSIE in PWID is not uncommon. Compared to non-LSIE in PWID, valve surgery is more common and mortality is higher. For reasons that are unclear, stroke is more frequent in LSIE in PWID than in non-PWID with LSIE but mortality is no different.

Indexed as

AdultAgedAged, 80 and overCohort StudiesDrug UsersEndocarditisFemaleHospitalizationHospitals, TeachingHumansInjectionsMaleMiddle AgedNorth CarolinaRetrospective StudiesTertiary Care CentersBacteremiaEndocarditisInjection drug usePersons who inject drugsValvular disease

Identifiers

PMID32100188
OpenAlexW3009031222

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.