Evidence map›Paper›PMID 41409226›Full record

ArticleOpen forum infectious diseases2025

Analysis of Clinical Subphenotypes in Methicillin-Resistant

Sofía De La Villa, Nuria Fernández-Hidalgo, Francesc Escrihuela-Vidal, Rosa Escudero-Sánchez, Itxasne Cabezón, Lucía Boix-Palop, Beatriz Díaz-Pollán, Ane Josune Goikoetxea, María José García-País, Lucía Ramos-Merino and 6 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Impact of Methicillin Resistance on Outcomes ofOpen forum infectious diseases · 2026
    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

16 authors.

Sofía De La VillaClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID https://orcid.org/0000-0002-1371-6417
Nuria Fernández-HidalgoInfectious Diseases Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Francesc Escrihuela-VidalCIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0003-3652-3121
Rosa Escudero-SánchezCIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.
Itxasne CabezónInfectious Diseases Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain.ORCID https://orcid.org/0000-0002-7805-1428
Lucía Boix-PalopInfectious Diseases Department, Hospital Universitari Mútua de Terrassa, Barcelona, Spain.ORCID https://orcid.org/0000-0002-4080-0008
Beatriz Díaz-PollánCIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0002-7241-4208
Ane Josune GoikoetxeaInfectious Diseases Department, Hospital Universitario de Cruces, Barakaldo, Spain.
María José García-PaísInternal Medicine Department, Hospital Universitario Lucus Augusti, Lugo, Spain.
Lucía Ramos-MerinoInfectious Diseases Department, Hospital Universitario A Coruña, La Coruña, Spain.
María Teresa Pérez-RodríguezInfectious Diseases Unit, Internal Medicine Department, Complexo Hospitalario Universitario de Vigo, Vigo, Spain.
Ángela CrespoInternal Medicine Department, Hospital Universitario de León, León, Spain.
Lara Del RíoInternal Medicine Department, Complejo Asistencial Universitario de Burgos, Burgos, Spain.
José María Bellón-CanoInstituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, Spain.ORCID https://orcid.org/0000-0002-8492-1565
Patricia MuñozClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID https://orcid.org/0000-0001-5706-5583
MRSA-GEIRAS-SEIMC study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We aimed to identify and evaluate clinical subphenotypes in a cohort of patients with methicillin-resistant Methods: This post hoc analysis of the MRSA-GEIRAS-SEIMC study was conducted across 15 Spanish hospitals. MRSAB in adult patients from 2019 to 2022 were included. Clinical subphenotypes were identified using a combination of principal component analysis and latent class analysis based on age, sex, comorbidities, SOFA score, creatinine levels, metastatic foci, source, and acquisition. The 90-day mortality associated with each subphenotype was estimated using the Kaplan-Meier method. Cox regression was performed to assess the risk of death. Results: A total of 419 MRSAB were included. Four distinct subphenotypes were identified: S1 was associated with younger age, community acquisition, and unknown or skin and soft-tissue infection source; S2 was associated with older age, female sex, high burden of comorbidities, and healthcare-related acquisition; S3 was linked to a catheter source and nosocomial acquisition; and S4 was predominantly associated with the presence of heart valve prostheses, and metastatic foci. Significant differences in all-cause 90-day mortality were observed across subphenotypes: 20.0% in S1, 47.4% in S2, 26.2% in S3, and 35.1% in S4 ( Conclusions: We identified 4 distinct clinical subphenotypes of MRSAB associated with prognostic outcomes. Further investigation is needed to implement them into clinical practice.

Indexed as

bacteremiaclinical subphenotypesmortalityMRSAStaphylococcus aureus

Identifiers

PMID41409226
PMCPMC12705987

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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.