Evidence map›Paper›PMID 36052565›Full record

SynthesisAnatolian journal of cardiology2022

A New Insight Into Nonbacterial Thrombotic Endocarditis: A Systematic Review of Cases.

Nithin R Venepally, Reza Arsanjani, Pradyumna Agasthi, Panwen Wang, Banveet K Khetarpal, Timothy Barry, Chieh-Ju Chao, Ayman R Fath, Farouk Mookadam

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Anatolian journal of cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. A rare presentation of nonbacterial thrombotic endocarditis.Journal of vascular surgery cases and innovative techniques · 2026
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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 1 institution in 1 country.

Nithin R VenepallyDepartment of Internal Medicine, Division of Cardiology, Texas Tech University Health Science Center, Odessa, Texas, USA.
Reza ArsanjaniDepartment of Cardiovascular Diseases, Mayo Clinic, Phoenix, Arizona, USA.
Pradyumna AgasthiDepartment of Cardiovascular Diseases, Mayo Clinic, Phoenix, Arizona, USA.
Panwen WangDepartment of Health Sciences Research, Mayo Clinic, Phoenix, Arizona, USA.
Banveet K KhetarpalDepartment of Internal Medicine, University of Nevada Las Vegas, Las Vegas, Nevada, USA.
Timothy BarryDepartment of Cardiovascular Diseases, Mayo Clinic, Phoenix, Arizona, USA.
Chieh-Ju ChaoDepartment of Cardiovascular Diseases, Mayo Clinic, Phoenix, Arizona, USA.
Ayman R FathDepartment of Cardiovascular Diseases, Mayo Clinic, Phoenix, Arizona, USA.
Farouk MookadamDepartment of Cardiovascular Diseases, University of Arizona, Phoenix, Arizona, USA.
Mayo Clinic Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNonbacterial thrombotic endocarditis is characterized by the presence of organized thrombi on cardiac valves, often associated with hypercoagulable states. There is a paucity of data regarding the predictors of mortality in patients with nonbacterial thrombotic endocarditis. Our primary aim was to identify predictors of in-hospital mortality in patients with nonbacterial thrombotic endocarditis.

methodsA systematic literature review of all published cases and case series was performed until May 2018 according to Preferred Reporting Items for Systematic Review and Meta-analyses statement guidelines. We applied random forest machine learning model to identify predictors of in-patient mortality in patients with nonbacterial thrombotic endocarditis.

resultsOur search generated a total of 163 patients (mean age, 46 ± 17 years; women, 69%) with newly diagnosed nonbacterial thrombotic endocarditis. The in-hospital mortality rate in the study cohort was 30%. Among the patients who died in the hospital, initial presentation of pulmonary embolism (12.2 vs. 2.6%), splenic (38.7 vs. 10.5%), and renal (40.8 vs. 9.6%) infarcts were higher compared to patients alive at the time of discharge. Higher rates of malignancy (71.4 vs. 39.4%, P = .0003) and lower rates of antiphospholipid syndrome (8.1 vs. 48.2%, P = .0001) were noted in deceased patients. Random forest machine learning analysis showed that older age, presence of antiphospholipid syndrome, splenic infarct, renal infarct, peripheral thromboembolism, pulmonary embolism, myocardial infarction, and mitral valve regurgitation were significantly associated with increased risk of in-hospital mortality.

conclusionPatients admitted with nonbacterial thrombotic endocarditis have a high rate of in-hospital mortality. Factors including older age, presence of antiphospholipid syndrome, splenic/renal infarct, lower limb thromboembolism, pulmonary embolism, myocardial infarction, and mitral valve regurgitation were significantly associated with increased risk of in-hospital mortality in patients with nonbacterial thrombotic endocarditis.

Indexed as

Antiphospholipid SyndromeEndocarditis, Non-InfectiveMitral Valve InsufficiencyMyocardial InfarctionPulmonary EmbolismThromboembolismAdultFemaleHumansMiddle Aged

Identifiers

PMID36052565
PMCPMC9623215
OpenAlexW4293214712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.