Evidence map›Paper›PMID 34157299›Full record

ArticleAmerican heart journal2021

Infective endocarditis and solid organ transplantation: Only worse outcomes during initial transplantation hospitalization.

Emily M Eichenberger, Michael Dagher, Matthew R Sinclair, Stacey A Maskarinec, Vance G Fowler, Jerome J Federspiel

Open access · greenAbstract read
In one paragraph

Article in American heart journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Emily M EichenbergerDepartment of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina.
Michael DagherDepartment of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina.
Matthew R SinclairDepartment of Medicine, Division of Nephrology, Duke University Medical Center, Durham, North Carolina.
Stacey A MaskarinecDepartment of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina.
Vance G FowlerDepartment of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina. Electronic address: Vance.Fowler@duke.edu.
Jerome J FederspielDepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Duke University Medical Center, Durham, North Carolina; Department of Gynecology and Obstetrics, The Johns Hopkins University School of Medicine, Baltimore, MD.
Duke Medical Center · USDuke University · USJohns Hopkins University · US

Funding

NRSA Training CoreTL1TR002555 · NCATS · DUKE UNIVERSITY · PI EDELMAN, DAVID · 2018 to 2022
$3.7M
Transplant Infectious Diseases Interdisciplinary Research Training Grant (TIDIRTGT32AI100851 · NIAID · DUKE UNIVERSITY · PI ALEXANDER, BARBARA D · 2013 to 2022
$1.8M
Mentoring Patient Oriented Research in Antibiotic-Resistant BacteriaK24AI093969 · NIAID · DUKE UNIVERSITY · PI FOWLER, VANCE G. · 2011 to 2020
$1.6M
NCATS NIH HHS TL1 TR002555NIAID NIH HHS K24 AI093969NIAID NIH HHS T32 AI100851
6 · The paper itself

Abstract

backgroundThe epidemiology, and outcome of infective endocarditis (IE) among solid organ transplant (SOT) recipients is unknown.

methodsWe used data from the 2013-2018 Nationwide Readmissions Database (NRD). IE- and SOT-associated hospitalizations were identified using diagnosis and procedure codes. Outcomes included inpatient mortality, length of stay, and inpatient costs. Adjusted analyses were performed using weighted regression models.

resultsA total of 99,052 IE-associated hospitalizations, corresponding to a weighted national estimate of 193,164, were included for analysis. Of these, 794 (weighted n = 1,574) were associated with transplant history (SOT-IE). Mortality was not significantly different between SOT-IE and non-SOT-IE (17.2% vs. 15.8%, adjusted relative risk [aRR]: 0.86, 95% confidence interval [CI] [0.71, 1.03]), and fewer SOT-IE patients underwent valve repair or replacement than non-SOT-IE (12.5% vs. 16.2%, aRR 0.82, 95% CI [0.71, 0.95]). We then compared outcomes of patients diagnosed with IE during their index transplant hospitalization (index-SOT-IE) to patients without IE during their transplant hospitalization (index-SOT). Index-SOT-IE occurred most frequently among heart transplant recipients (45.1%), and was associated with greater mortality (27.1% vs. 2.3%, aRR 6.07, 95% CI [3.32, 11.11]).

conclusionDual diagnosis of SOT and IE was associated with worse outcomes among SOT recipients during index hospitalization, but not overall among patients with IE.

Indexed as

Databases, FactualEndocarditisFemaleHospital CostsHospitalizationHospital MortalityHumansLength of StayMaleMiddle AgedOrgan TransplantationPostoperative ComplicationsRegression AnalysisRetrospective StudiesRisk FactorsTreatment Outcome

Identifiers

PMID34157299
PMCPMC8484033
OpenAlexW3175406445

What OpenQuestion holds

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Registered trials

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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.