Evidence map›Paper›PMID 36142922›Full record

ReviewJournal of clinical medicine2022

Optimal Timing for Cardiac Surgery in Infective Endocarditis with Neurological Complications: A Narrative Review.

Joan Siquier-Padilla, Guillermo Cuervo, Xabier Urra, Eduard Quintana, Marta Hernández-Meneses, Elena Sandoval, Pau Lapeña, Carles Falces, Carlos A Mestres, Alfredo Paez-Carpio and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Isolated pulmonary valve endocarditis.Wiener klinische Wochenschrift · 2024
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Infective endocarditis of quadricuspid aortic valve.Journal of cardiothoracic surgery · 2023
    Article
  10. 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

13 authors at 6 institutions in 2 countries.

Joan Siquier-PadillaCardiology Department, Health Research Institute of the Balearic Islands (IdISBa), Hospital Universitari Son Espases, 07120 Palma de Mallorca, Spain.
Guillermo CuervoInfectious Diseases Department, Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0002-7075-943X
Xabier UrraFunctional Unit of Cerebrovascular Diseases, Institute of Neurosciences, Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.
Eduard QuintanaCardiovascular Surgery Department, Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.
Marta Hernández-MenesesInfectious Diseases Department, Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.
Elena SandovalCardiovascular Surgery Department, Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.
Pau LapeñaFaculty of Medicine and Health Sciences, University of Barcelona, 08036 Barcelona, Spain.
Carles FalcesCardiology Department, Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0002-3483-3786
Carlos A MestresCardiothoracic Surgery Department, The University of the Free State, Bloemfontein 9300, South Africa.ORCID 0000-0001-8148-9044
Alfredo Paez-CarpioRadiology Department, Diagnostic Imaging Center (CDI), Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0001-9791-5888
Asunción MorenoInfectious Diseases Department, Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.
José María MiroInfectious Diseases Department, Hospital Clinic-IDIBAPS, University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0001-8057-7755
Hospital Clinic Endocarditis Team Investigators
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESInstituto de Salud Carlos III · ESHealth Research Institute of the Balearic Islands · ESHospital Clínic de Barcelona · ESUniversitat de Barcelona · ESUniversity of the Free State · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with infective endocarditis and neurological complications, the optimal timing for cardiac surgery is unclear due to the varied risk of clinical deterioration when early surgery is performed. The aim of this review is to summarize the best evidence on the optimal timing for cardiac surgery in the presence of each type of neurological complication. An English literature search was carried out from June 2018 through July 2022. The resulting selection, comprising observational studies, clinical trials, systematic reviews and society guidelines, was organized into four sections according to the four groups of neurological complications: ischemic, hemorrhagic, infectious, and asymptomatic complications. Cardiac surgery could be performed without delay in cases of ischemic vascular neurological complication (provided the absence of severe damage, which can be avoided with the performance of mechanical thrombectomy in cases of major stroke), as well as infectious or asymptomatic complications. In the presence of intracranial hemorrhage, a delay of four weeks is recommended for most cases, although recent studies have suggested that performing cardiac surgery within four weeks could be a suitable option for selected cases. The findings of this review are mostly in line with the recommendations of the current European and American infective endocarditis guidelines.

Indexed as

cerebral infarctionendocarditisintracerebral hemorrhagemeningitis and mycotic aneurysmstrokesurgery

Identifiers

PMID36142922
PMCPMC9501443
OpenAlexW4295102980

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.