Evidence map›Paper›PMID 41511415›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2025

The risk of cardiovascular, cerebrovascular and thromboembolic events after community-acquired pneumonia among adults: a systematic literature review.

Christian Theilacker, Maria Elena Guardado Escobar, Reiko Sato, Elvira Carrió, Somsuvro Basu, Thao Mai Phuong Tran, Germaine Hanquet, Bradford D Gessner, Elizabeth Begier

Abstract readSystematic Review
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2025. 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
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Christian TheilackerPfizer Vaccines, Collegeville, PA, USA Christian.Theilacker@pfizer.com.
Maria Elena Guardado EscobarP95 Epidemiology and Pharmacovigilance, Leuven, Belgium.
Reiko SatoValue and Evidence, Global Access and Value, Pfizer Inc, Collegeville, PA, USA.
Elvira CarrióP95 Epidemiology and Pharmacovigilance, Leuven, Belgium.ORCID https://orcid.org/0000-0002-0435-3423
Somsuvro BasuP95 Epidemiology and Pharmacovigilance, Leuven, Belgium.
Thao Mai Phuong TranP95 Epidemiology and Pharmacovigilance, Leuven, Belgium.ORCID https://orcid.org/0000-0003-2336-8302
Germaine HanquetP95 Epidemiology and Pharmacovigilance, Leuven, Belgium.
Bradford D GessnerVaccines Medical Development and Scientific/Clinical Affairs, Pfizer Inc, Collegeville, PA, USA.
Elizabeth BegierVaccines Medical Development and Scientific/Clinical Affairs, Pfizer Inc, Collegeville, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity-acquired pneumonia (CAP) may prompt long-term complications. We reviewed the absolute and relative risks of cardiac/vascular events after pneumococcal (PCAP) and all-cause CAP (aCAP) in adults.

methodsWe searched Embase and PubMed for publications from high-income countries between 2000 and 2021, comparing the relative risk of cardiac/vascular events after CAP in adults to those without CAP. We also reviewed event risks among patients with CAP. In this review, CAP has been used as an umbrella term, including both PCAP and aCAP.

resultsWe included 19 of 6917 identified publications. CAP was independently associated with cardiovascular disease (CVD), including heart failure and acute coronary syndrome, as well as deep-vein thrombosis and pulmonary embolism. The relative risk for cardiac/vascular events in the year post-CAP ranged from 1.4 to 4.1 compared to non-CAP patients. The highest risk occurred immediately after the CAP episode, but the risk remained elevated for years. The risk for CVD <1 year post-CAP was 4.6% in individuals aged 45-64 years and 17.9% for those aged 65+ years. The cumulative risk of cardiac/vascular events after CAP increased with time of follow-up and comorbidities.

conclusionsCardiac/vascular events occur frequently after CAP and the association persists beyond the acute phase of infection. Public health evaluations of interventions for the prevention of CAP should consider these long-term sequelae.

Indexed as

Cardiovascular DiseasesCerebrovascular DisordersCommunity-Acquired PneumoniaThromboembolismAdultCommunity-Acquired InfectionsHumansMiddle AgedPneumoniaRisk AssessmentRisk FactorsTime Factors

Identifiers

PMID41511415
PMCPMC11920887

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.