Evidence map›Paper›PMID 35255510›Full record

SynthesisHamostaseologie2022

Cardiac and Cerebral Arterial Complications of Lemierre Syndrome: Results from a Systematic Review and Individual Patient Data Meta-analysis.

William Pleming, Stefano Barco, Davide Voci, Clara Sacco, Federica Zane, Serena Granziera, Gabriele Corsi, Stavros V Konstantinides, Nils Kucher, Alessandro Pecci and 1 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Hamostaseologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Lemierre Syndrome Associated withInfectious disease reports · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

11 authors at 6 institutions in 3 countries.

William PlemingClinic of Angiology, University Hospital Zurich, Zurich, Switzerland.
Stefano BarcoClinic of Angiology, University Hospital Zurich, Zurich, Switzerland.
Davide VociClinic of Angiology, University Hospital Zurich, Zurich, Switzerland.
Clara SaccoCenter for Thrombosis and Hemorrhagic Diseases, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Federica ZaneDepartment of General Medicine, Hospital of Sondrio, Sondrio, Italy.
Serena GranzieraDepartment of Medicine, Geriatric Unit, Ospedale San Giovanni e Paolo, Venice, Italy.
Gabriele CorsiDepartment of Clinical, Integrated and Experimental Medicine (DIMES), Respiratory and Critical Care Unit, S. Orsola - Malpighi Hospital, Alma Mater University, Bologna, Italy.
Stavros V KonstantinidesCenter for Thrombosis and Hemostasis, Mainz University Medical Center, Mainz, Germany.
Nils KucherClinic of Angiology, University Hospital Zurich, Zurich, Switzerland.
Alessandro PecciDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Pavia, Italy.
Luca ValerioCenter for Thrombosis and Hemostasis, Mainz University Medical Center, Mainz, Germany.ORCID 0000-0003-4466-0724
Johannes Gutenberg University Mainz · DEUniversity Hospital of Zurich · CHAzienda Ospedaliera di Valtellina e Valchiavenna · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITIRCCS Humanitas Research Hospital · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLemierre syndrome is a potentially life-threatening disease, which affects otherwise healthy young adults and adolescents. It is characterized by acute neck vein thrombosis and septic embolism, usually complicating a bacterial infection. Data on the syndrome are sparse, particularly concerning arterial complications.

methodsWe evaluated the frequency and patterns of cerebral arterial and cardiac involvement ("arterial complications") in an individual patient level cohort of 712 patients, representing all cases described over the past 20 years in the medical literature who fulfilled the criteria: (1) bacterial infection in the neck/head site and (2) objectively confirmed thrombotic complication or septic embolism. The study outcomes were defined as all-cause in-hospital deaths and the occurrence of clinical sequelae at discharge or in the postdischarge period.

resultsA total of 55 (7.7%) patients had an arterial complication. The most frequent arterial complications were carotid involvement (52.7%), stroke (38.2%), and pericardial complications (20%). Patients with an arterial involvement were more likely to be treated with a greater number of antibiotics (23 vs. 10%) and to receive anticoagulation. In addition, patients with arterial complications had a greater risk of all-cause death (

conclusionsWhile Lemierre syndrome is known to be primarily characterized by venous thromboembolic events, our results suggest that local or distant arterial complications may occur in approximately one-tenth of patients and may be associated with a greater risk of long-term sequelae and death.

Indexed as

Bacterial InfectionsEmbolismLemierre SyndromeVenous ThrombosisAdolescentAftercareHumansPatient DischargeYoung Adult

Identifiers

PMID35255510
PMCPMC9388219
OpenAlexW4220773502

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.