Evidence map›Paper›PMID 36571672›Full record

ArticleInfection2023

Outcomes of octogenarians and nonagenarians with Pseudomonas aeruginosa bacteremia: a multicenter retrospective study.

Alaa Atamna, Ili Margalit, Gida Ayada, Tanya Babich, Pontus Naucler, John Karlsson Valik, Christian G Giske, Natividad Benito, Ruben Cardona, Alba Rivera and 39 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 67% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Predictors of Mortality inPathogens (Basel, Switzerland) · 2026
    Review
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

49 authors at 20 institutions in 10 countries.

Alaa Atamna *Infectious Diseases Unit, Rain Medical Center, Beilinson Hospital, 39 Jabotinsky Road, Petah Tikva, Israel. a.atamna86@gmail.com.
Ili Margalit *Infectious Diseases Unit, Rain Medical Center, Beilinson Hospital, 39 Jabotinsky Road, Petah Tikva, Israel.
Gida AyadaMedicine C, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Tanya BabichInfectious Diseases Unit, Rain Medical Center, Beilinson Hospital, 39 Jabotinsky Road, Petah Tikva, Israel.
Pontus NauclerDivision of Infectious Diseases, Department of Medicine Solna, Karolinska Institute, Stockholm, Sweden.
John Karlsson ValikDivision of Infectious Diseases, Department of Medicine Solna, Karolinska Institute, Stockholm, Sweden.
Christian G GiskeDepartment of Laboratory Medicine, Karolinska Institute, Stockholm, Sweden.
Natividad BenitoInfectious Diseases Unit, Department of Internal Medicine, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Ruben CardonaDepartment of Internal Medicine, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Alba RiveraDepartment of Microbiology, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, Barcelona, Spain.
Celine PulciniUniversité de Lorraine, APEMAC, 54000, Nancy, France.
Manal Abdel FattahInfectious Diseases Department, Université de Lorraine, CHRU-Nancy, 54000, Nancy, France.
Justine HaquinInfectious Diseases Department, Université de Lorraine, CHRU-Nancy, 54000, Nancy, France.
Alasdair MacgowanDepartment of Infection Sciences, Pathology Sciences Building, Southmead Hospital, Bristol, UK.
Bibiana ChazanInfectious Diseases Unit, Emek Medical Center, Afula, Israel.
Anna YanovskayInfectious Diseases Unit, Emek Medical Center, Afula, Israel.
Ronen Ben AmiFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Michal LandesInfectious Diseases Unit, Sourasky Medical Center, Tel-Aviv, Israel.
Lior NesherInfectious Disease Institute, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheba, Israel.
Adi Zaidman-ShimshovitzInfectious Disease Institute, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheba, Israel.
Kate McCarthyUQ Centre for Clinical Research, The University of Queensland, Brisbane, Australia.
David L PatersonUQ Centre for Clinical Research, The University of Queensland, Brisbane, Australia.
Evelina TacconelliDivision of Infectious Diseases, Tuebingen University Hospital, Tuebingen, Germany.
Michael BuhlDivision of Infectious Diseases, Tuebingen University Hospital, Tuebingen, Germany.
Susanna MauerDivision of Infectious Diseases, Tuebingen University Hospital, Tuebingen, Germany.
Jesús Rodríguez-BañoHospital Universitario Virgen Macarena, Universidad de Sevilla, Instituto de Biomedicina de Sevilla (IBiS)/CSIC and CIBERINFEC, Instituto de Salud Carlos III ES, Sevilla, Spain.
Marina de CuetoHospital Universitario Virgen Macarena, Universidad de Sevilla, Instituto de Biomedicina de Sevilla (IBiS)/CSIC and CIBERINFEC, Instituto de Salud Carlos III ES, Sevilla, Spain.
Antonio OliverServicio de Microbiología and Unidad de Investigación, Hospital Universitario Son Espases, Instituto de Investigación Illes Balears (IdISBa), Palma, Spain.
Enrique Ruiz de GopeguiServicio de Microbiología and Unidad de Investigación, Hospital Universitario Son Espases, Instituto de Investigación Illes Balears (IdISBa), Palma, Spain.
Angela CanoInfectious Diseases Unit, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.
Isabel MachucaInfectious Diseases Unit, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.
Monica Gozalo-MarguelloMicrobiology Service, University Hospital Marqués de Valdecilla-IDIVAL, Santander, Spain.
Luis Martinez-MartinezMicrobiology Service, University Hospital Marqués de Valdecilla-IDIVAL, Santander, Spain.
Eva M Gonzalez-BarberaMicrobiology Department, La Fe University Hospital, Valencia, Spain.
Iris Gomez AlfaroMicrobiology Department, La Fe University Hospital, Valencia, Spain.
Miguel SalavertInfectious Diseases Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Bojana BeovicDepartment of Infectious Diseases, University Medical Centre, Ljubljana, Slovenia.
Andreja SajeDepartment of Infectious Diseases, University Medical Centre, Ljubljana, Slovenia.
Manica Mueller-PremruInstitute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Leonardo PaganiInfectious Diseases Unit, Bolzano Central Hospital, Bolzano, Italy.
Virginie VitratInfectious Diseases Unit, Annecy-Genevois Hospital Center (CHANGE), Annecy, France.
Diamantis KofteridisInfectious Disease Unit, Department of Internal Medicine, University Hospital of Heraklion, Heraklion, Crete, Greece.
Maria ZacharioudakiInfectious Disease Unit, Department of Internal Medicine, University Hospital of Heraklion, Heraklion, Crete, Greece.
Sofia MarakiInfectious Disease Unit, Department of Internal Medicine, University Hospital of Heraklion, Heraklion, Crete, Greece.
Yulia WeissmanFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Mical PaulInfectious Diseases Unit, Rambam Health Care Campus, Haifa, Israel.
Yaakov DicksteiInfectious Diseases Unit, Rambam Health Care Campus, Haifa, Israel.
Dafna YahavInfectious Diseases Unit, Sheba Medical Center, Ramat-Gan, Israel.
ESCMID study group for infections in elderly (ESGIE)
Tel Aviv University · ILCentre Hospitalier Régional et Universitaire de Nancy · FRHospital Universitari i Politècnic La Fe · ESKarolinska University Hospital · SEUniversitätsklinikum Tübingen · DEUniversity Hospital of Heraklion · GRUniversity of Ljubljana · SIBen-Gurion University of the Negev · ILHealth Research Institute of the Balearic Islands · ESHospital de Sant Pau · ESInstituto de Salud Carlos III · ESInstituto Maimónides de Investigación Biomédica de Córdoba · ESMarqués de Valdecilla University Hospital · ESRabin Medical Center · ILRambam Health Care Campus · ILTechnion – Israel Institute of Technology · ILThe University of Queensland · AUCentre Hospitalier Annecy Genevois · FROspedale di Bolzano · ITSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundP. aeruginosa bacteremia is a common and severe infection carrying high mortality in older adults. We aimed to evaluate outcomes of P. aeruginosa bacteremia among old adults (≥ 80 years).

methodsWe included the 464/2394 (19%) older adults from a retrospective multinational (9 countries, 25 centers) cohort study of individuals hospitalized with P. aeruginosa bacteremia. Bivariate and multivariable logistic regression models were used to evaluate risk factors for 30-day mortality among older adults.

resultsAmong 464 adults aged ≥ 80 years, the mean age was 84.61 (SD 3.98) years, and 274 (59%) were men. Compared to younger patients, ≥ 80 years adults had lower Charlson score; were less likely to have nosocomial acquisition; and more likely to have urinary source. Thirty-day mortality was 30%, versus 27% among patients 65-79 years (n = 894) and 25% among patients < 65 years (n = 1036). Multivariate analysis for predictors of mortality among patients ≥ 80 years, demonstrated higher SOFA score (odds ratio [OR] 1.36, 95% confidence interval [CI] 1.23-1.51, p < 0.001), corticosteroid therapy (OR 3.15, 95% CI: 1.24-8.01, p = 0.016) and hospital acquired P. aeruginosa bacteremia (OR 2.30, 95% CI: 1.33-3.98, p = 0.003) as predictors. Appropriate empirical therapy within 24 h, type of definitive anti-pseudomonal drug, and type of regimen (monotherapy or combination) were not associated with 30-day mortality.

conclusionsIn older adults with P. aeruginosa bacteremia, background conditions, place of acquisition, and disease severity are associated with mortality, rather than the antimicrobial regimen. In this regard, preventive efforts and early diagnosis before organ failure develops might be beneficial for improving outcomes.

Indexed as

BacteremiaPseudomonas InfectionsAgedAged, 80 and overAnti-Bacterial AgentsCohort StudiesFemaleHumansMaleNonagenariansOctogenariansPseudomonas aeruginosaRetrospective StudiesRisk FactorsAnti-Bacterial AgentsBacteremiaOctogenarianOutcomesPseudomonas

Identifiers

PMID36571672
OpenAlexW4312196402

What OpenQuestion holds

Textmetadata
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.