Evidence map›Paper›PMID 33052592›Full record

ArticleArtificial organs2021

Left ventricular assist device driveline infections in three contemporary devices.

Thomas Schlöglhofer, Peter Michalovics, Julia Riebandt, Philipp Angleitner, Martin Stoiber, Günther Laufer, Heinrich Schima, Dominik Wiedemann, Daniel Zimpfer, Francesco Moscato

Open access · hybridAbstract read
In one paragraph

Article in Artificial organs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Driveline exit-site care protocols in patients with left ventricular assist devices: a systematic review.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2021
    Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Infections in Patients with Mechanical Circulatory Support.Infectious disease clinics of North America · 2024
    Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. 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

10 authors at 2 institutions in 1 country.

Thomas SchlöglhoferCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-4354-4860
Peter MichalovicsCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Julia RiebandtDivision of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-8601-9989
Philipp AngleitnerDivision of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-8378-0633
Martin StoiberCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Günther LauferDivision of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-7257-110X
Heinrich SchimaCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-8003-7617
Dominik WiedemannDivision of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-2055-8293
Daniel ZimpferDivision of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-2185-4895
Francesco MoscatoCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-0279-6615
Ludwig Boltzmann Institute for Age Research · ATMedical University of Vienna · AT

Funding

Austrian Science Fund FWF-KLI 357
6 · The paper itself

Abstract

Driveline infections (DLI) are common adverse events in left ventricular assist devices (LVADs), leading to severe complications and readmissions. The study aims to characterize risk factors for DLI readmission 2 years postimplant. This single-center study included 183 LVAD patients (43 HeartMate II [HMII], 29 HeartMate 3 [HM3], 111 HVAD) following hospital discharge between 2013 and 2017. Demographics, clinical parameters, and outcomes were retrospectively analyzed and 12.6% of patients were readmitted for DLI, 14.8% experienced DLI but were treated in the outpatient setting, and 72.7% had no DLI. Mean C-reactive protein (CRP), leukocytes and fibrinogen were higher in patients with DLI readmission (P < .02) than in outpatient DLI and patients without DLI, as early as 60 days before readmission. Freedom from DLI readmission was comparable for HMII and HVAD (98% vs. 87%; HR, 4.52; 95% CI, 0.58-35.02; P = .15) but significantly lower for HM3 (72%; HR, 10.82; 95% CI, 1.26-92.68; P = .03). DLI (HR, 1.001; 95% CI, 0.999-1.002; P = .16) or device type had no effect on mortality. DLI readmission remains a serious problem following LVAD implantation, where CRP, leukocytes, and fibrinogen might serve as risk factors already 60 days before. HM3 patients had a higher risk for DLI readmissions compared to HVAD or HMII, possibly because of device-specific driveline differences.

Indexed as

AdultAgedBiomarkersC-Reactive ProteinFemaleFibrinogenFollow-Up StudiesHeart-Assist DevicesHeart FailureHumansLeukocyte CountMaleMiddle AgedPatient ReadmissionProsthesis-Related InfectionsRetrospective StudiesBiomarkersC-Reactive ProteinFibrinogendriveline infectionmechanical circulatory supportreadmissionrisk factorsventricular assist device

Identifiers

PMID33052592
PMCPMC8247301
OpenAlexW3092649261

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.