Evidence map›Paper›PMID 32818144›Full record

ArticleOpen forum infectious diseases2020

Management and Outcome of Left Ventricular Assist Device Infections in Patients Undergoing Cardiac Transplantation.

Zerelda Esquer Garrigos, Natalia E Castillo Almeida, Pooja Gurram, Prakhar Vijayvargiya, Cristina G Corsini Campioli, John M Stulak, Stacey A Rizza, Larry M Baddour, M Rizwan Sohail

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 34% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Infections in Patients with Mechanical Circulatory Support.Infectious disease clinics of North America · 2024
    Review
  5. Article
  6. Review
  7. Article
  8. Article
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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

9 authors at 3 institutions in 1 country.

Zerelda Esquer GarrigosDivision of Infectious Diseases, Department of Medicine, Rochester, Minnesota, USA.ORCID 0000-0003-4561-7883
Natalia E Castillo AlmeidaDivision of Infectious Diseases, Department of Medicine, Rochester, Minnesota, USA.
Pooja GurramDivision of Infectious Diseases, Department of Medicine, Rochester, Minnesota, USA.
Prakhar VijayvargiyaDivision of Infectious Diseases, Department of Medicine, Rochester, Minnesota, USA.
Cristina G Corsini CampioliDivision of Infectious Diseases, Department of Medicine, Rochester, Minnesota, USA.
John M StulakDepartment of Cardiovascular Surgery, Rochester, Minnesota, USA.
Stacey A RizzaDivision of Infectious Diseases, Department of Medicine, Rochester, Minnesota, USA.
Larry M BaddourDivision of Infectious Diseases, Department of Medicine, Rochester, Minnesota, USA.
M Rizwan SohailDivision of Infectious Diseases, Department of Medicine, Rochester, Minnesota, USA.
Mayo Clinic in Arizona · USMayo Clinic · USUniversity of Mississippi Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative management of patients undergoing cardiac transplantation with an infected left ventricular assist device (LVAD) is unclear.

methodsWe retrospectively screened all adults with an LVAD who underwent cardiac transplantation at our institution from 2010 through 2018. We selected all cases of LVAD-specific and LVAD-related infections who were receiving antimicrobial therapy as initial treatment course or chronic suppression at the time of cardiac transplantation. Non-LVAD infections, superficial driveline-infection, or concurrent use of right ventricular assist device or extracorporeal membrane oxygenation device were excluded.

resultsA total of 54 cases met study criteria with 18 of 54 (33.6%) classified as LVAD- specific or related infections and 36 of 54 (66.6%) as noninfected. cases of lvad infection had a higher median charlson comorbidity Index score at the time of transplantation compared with noninfected cases (

conclusionsPatients with an LVAD-specific infection were treated with 2 weeks of pathogen-directed therapy postheart transplant without any relapses. For those without LVAD-specific infection or uncomplicated LVAD-related bacteremia who had completed antimicrobial therapy pretransplant, antibiotics were discontinued after standard perioperative prophylaxis and no relapses were observed.

Indexed as

heart transplantleft ventricular device infectionsmanagementoutcomes

Identifiers

PMID32818144
PMCPMC7423297
OpenAlexW3045111439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.