Evidence map›Paper›PMID 35735821›Full record

ReviewJournal of cardiovascular development and disease2022

Infective Endocarditis in the Elderly: Challenges and Strategies.

Carlos Bea, Sara Vela, Sergio García-Blas, Jose-Angel Perez-Rivera, Pablo Díez-Villanueva, Ana Isabel de Gracia, Eladio Fuertes, Maria Rosa Oltra, Ana Ferrer, Andreu Belmonte and 8 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Frontiers in medicine · 2024
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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

18 authors at 4 institutions in 1 country.

Carlos BeaServicio de Medicina Interna, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.ORCID 0000-0003-0496-9508
Sara VelaServicio de Medicina Interna, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Sergio García-BlasServicio de Cardiología, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.ORCID 0000-0002-1998-3735
Jose-Angel Perez-RiveraServicio de Cardiología, Hospital Universitario de Burgos, 09003 Burgos, Spain.
Pablo Díez-VillanuevaServicio de Cardiología, Hospital Universitario La Princesa, 28006 Madrid, Spain.
Ana Isabel de GraciaServicio de Medicina Interna, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Eladio FuertesServicio de Medicina Interna, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Maria Rosa OltraServicio de Medicina Interna, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Ana FerrerServicio de Medicina Interna, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Andreu BelmonteServicio de Medicina Interna, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Enrique SantasServicio de Cardiología, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Mauricio PellicerServicio de Cardiología, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Javier ColominaServicio de Microbiología, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.ORCID 0000-0003-1654-3619
Alberto DoménechServicio de Cirugía Cardiovascular, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Vicente BodiServicio de Cardiología, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Maria José FornerServicio de Medicina Interna, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Francisco Javier ChorroServicio de Cardiología, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.
Clara BonanadServicio de Cardiología, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.ORCID 0000-0001-8665-7107
Hospital Clínico Universitario de Valencia · ESUniversitat de València · ESHospital Universitario de Burgos · ESHospital Universitario de La Princesa · ES

Funding

Generalitat Valenciana PROMETEO/21/008Instituto de Salud Carlos III JR/21/00041Instituto de Salud Carlos III Pi20/00637
6 · The paper itself

Abstract

The specific management of infective endocarditis (IE) in elderly patients is not specifically addressed in recent guidelines despite its increasing incidence and high mortality in this population. The term "elderly" corresponds to different ages in the literature, but it is defined by considerable comorbidity and heterogeneity. Cancer incidence, specifically colorectal cancer, is increased in older patients with IE and impacts its outcome. Diagnosis of IE in elderly patients is challenging due to the atypical presentation of the disease and the lower performance of imaging studies. Enterococcal etiology is more frequent than in younger patients. Antibiotic treatment should prioritize diminishing adverse effects and drug interactions while maintaining the best efficacy, as surgical treatment is less commonly performed in this population due to the high surgical risk. The global assessment of elderly patients with IE, with particular attention to frailty and geriatric profiles, should be performed by multidisciplinary teams to improve disease management in this population.

Indexed as

diagnosiselderlyinfective endocarditistreatment

Identifiers

PMID35735821
PMCPMC9224959
OpenAlexW4283013781

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.