Evidence map›Paper›PMID 32416009›Full record

ArticleEchocardiography (Mount Kisco, N.Y.)2020

Repeat transesophageal echocardiography in infective endocarditis: An analysis of contemporary utilization.

Aylin Shafiyi, Nandan S Anavekar, Abinash Virk, M Rizwan Sohail, Brian D Lahr, Daniel C DeSimone, Walter R Wilson, Larry M Baddour

Abstract read
In one paragraph

Article in Echocardiography (Mount Kisco, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Aylin ShafiyiDepartment of Medicine, Division of Infectious Diseases, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.
Nandan S AnavekarDepartment of Cardiovascular Diseases, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.
Abinash VirkDepartment of Medicine, Division of Infectious Diseases, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.
M Rizwan SohailDepartment of Medicine, Division of Infectious Diseases, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.
Brian D LahrDivision of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.
Daniel C DeSimoneDepartment of Medicine, Division of Infectious Diseases, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.
Walter R WilsonDepartment of Medicine, Division of Infectious Diseases, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.
Larry M BaddourDepartment of Medicine, Division of Infectious Diseases, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-4473-7077

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR33AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2020 to 2022
$2.4M
NCATS NIH HHS UL1 TR000135NIA NIH HHS R01 AG034676NIA NIH HHS R33 AG058738
6 · The paper itself

Abstract

backgroundCurrent guidelines from the American Heart Association (AHA) recommend repeating transesophageal echocardiography (TEE) in three to five days if there is high suspicion of IE despite an initial TEE that was negative. This recommendation, however, is based on limited published data.

objectivesThis investigation attempts to identify specific factors that prompted repeat TEE and evaluate the yield of IE-related findings demonstrated by repeat TEE as compared to initial or prior TEE.

methodsA retrospective cohort who had at least one repeat TEE during an index hospitalization or initial course of antimicrobial therapy for IE between January 2014 and September 2018. We assessed the impact of repeat TEE on IE diagnosis and patient management and included a comparative analysis of patients with initial TEE only.

resultsOverall, 59 (44.7%) of 132 IE patients underwent repeat TEE. In a comparative analysis that involved patients who had undergone an initial TEE only versus those who had repeat TEE, male gender (P = .029) and presence of a prosthetic valve or annuloplasty ring (P = .017) were significantly associated with repeat TEE. Importantly, 8 (17.4%) of repeat TEE were critical for IE diagnosis, 8 (17.4%) impacted antimicrobial management, and 11 (23.9%) supported cardiovascular surgical intervention.

conclusionsFrom a population-based cohort of incident IE cases, repeat TEE was more frequently (44.7%) done in patients with suspect or proven IE and associated complications than anticipated. Repeat TEE remains pivotal in a contemporary practice that involves critical aspects of IE diagnosis and management.

Indexed as

EndocarditisEndocarditis, BacterialAortic ValveEchocardiography, TransesophagealHumansMaleRetrospective Studiesechocardiographyinfective endocarditisoutcomesrepeattransesophageal

Identifiers

PMID32416009
PMCPMC9278054

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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.