Evidence map›Paper›PMID 40884710›Full record

SynthesisHeart failure reviews2025

Infective endocarditis complicated by shock: a systematic review and meta-analysis.

Roxana-Bianca Pîrîianu-Masgras, Alexandre Mebazaa, Gianluigi Savarese, Emanuel Stoica, Oliviana Geavlete, Andrew P Ambrosy, Elena-Laura Antohi, Mehmet Birhan Yilmaz, Razvan-Ilie Radu, Marianna Adamo and 6 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Heart failure reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

16 authors.

Roxana-Bianca Pîrîianu-MasgrasUniversity of Medicine and Pharmacy Carol Davila, 8 Eroii Sanitari Blvd, 050474, Bucharest, Romania. roxana-bianca.masgras@drd.umfcd.ro.
Alexandre MebazaaDepartment of Anesthesia & Critical Care, Lariboisière Hospital, AP-HP, Paris, France.
Gianluigi SavareseDivision of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Emanuel Stoica1, Department of Cardiology, Emergency Institute for Cardiovascular Diseases "C.C.Iliescu", 258 Fundeni St, 022328, Bucharest, Romania.
Oliviana GeavleteUniversity of Medicine and Pharmacy Carol Davila, 8 Eroii Sanitari Blvd, 050474, Bucharest, Romania.
Andrew P AmbrosyDepartment of Cardiology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
Elena-Laura AntohiUniversity of Medicine and Pharmacy Carol Davila, 8 Eroii Sanitari Blvd, 050474, Bucharest, Romania.
Mehmet Birhan YilmazDepartment of Cardiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
Razvan-Ilie RaduUniversity of Medicine and Pharmacy Carol Davila, 8 Eroii Sanitari Blvd, 050474, Bucharest, Romania.
Marianna AdamoInstitute of Cardiology, ASST Spedali Civili, Brescia, Italy.
Beth A DavisonUMR-S 942 (MASCOT), Université Paris Cité, INSERM, Paris, France.
Jan BiegusDepartment of Cardiology, Clinical Department of Intensive Cardiac Care, Institute of Heart Diseases, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.
Gad CotterUMR-S 942 (MASCOT), Université Paris Cité, INSERM, Paris, France.
Javed ButlerBaylor Scott and White Research Institute, Dallas, TX, USA.
Sean P CollinsDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Ovidiu ChioncelUniversity of Medicine and Pharmacy Carol Davila, 8 Eroii Sanitari Blvd, 050474, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infective endocarditis (IE) complicated by septic or cardiogenic shock is linked to a marked increase in morbidity and mortality rates. This systematic review and meta-analysis sought to evaluate clinical outcomes, identify prognostic factors, and assess the effects of valve surgical intervention in patients with infective endocarditis complicated by shock. Systematic searches were performed in PubMed, Cochrane Library, and Google Scholar databases, following PRISMA and MOOSE guidelines. Included were observational studies published from January 2015 to May 2025 that reported on adult patients with infective endocarditis complicated by septic or cardiogenic shock. A random-effects model was utilized for data synthesis (restricted maximum likelihood with Hartung-Knapp adjustment), and meta-regression was conducted to assess sources of heterogeneity. Seven observational studies were included (n = 183-255,838). In-hospital mortality among patients with shock was 62.3% (95% CI 48.3-74.5%). Compared with IE without shock, the pooled odds ratio for in-hospital mortality (HK-REML) was 5.83 (95% CI 1.35-25.23; 95% prediction interval 0.26-129.69), with substantial heterogeneity (I

Indexed as

EndocarditisEndocarditis, BacterialShock, CardiogenicShock, SepticGlobal HealthHospital MortalityHumansPrognosisCardiogenic shockClinical outcomesInfective endocarditisMortalitySeptic shockSystematic review

Identifiers

PMID40884710
PMCPMC12618325

What OpenQuestion holds

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Registered trials

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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.