HACEK Infective Endocarditis: Characteristics and Outcomes from a Large, Multi-National Cohort
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{"title"=>"HACEK Infective Endocarditis: Characteristics and Outcomes from a Large, Multi-National Cohort", "type"=>"journal", "authors"=>[{"first_name"=>"Stephen T.", "last_name"=>"Chambers", "scopus_author_id"=>"57192877192"}, {"first_name"=>"David", "last_name"=>"Murdoch", "scopus_author_id"=>"7102160257"}, {"first_name"=>"Arthur", "last_name"=>"Morris", "scopus_author_id"=>"35430322800"}, {"first_name"=>"David", "last_name"=>"Holland", "scopus_author_id"=>"7202290131"}, {"first_name"=>"Paul", "last_name"=>"Pappas", "scopus_author_id"=>"7102688520"}, {"first_name"=>"Manel", "last_name"=>"Almela", "scopus_author_id"=>"7004414528"}, {"first_name"=>"Nuria", "last_name"=>"Fernández-Hidalgo", "scopus_author_id"=>"14818965400"}, {"first_name"=>"Benito", "last_name"=>"Almirante", "scopus_author_id"=>"7006275453"}, {"first_name"=>"Emilio", "last_name"=>"Bouza", "scopus_author_id"=>"7102343925"}, {"first_name"=>"Davide", "last_name"=>"Forno", "scopus_author_id"=>"8396787400"}, {"first_name"=>"Ana del", "last_name"=>"Rio", "scopus_author_id"=>"57198007482"}, {"first_name"=>"Margaret M.", "last_name"=>"Hannan", "scopus_author_id"=>"7103384803"}, {"first_name"=>"John", "last_name"=>"Harkness", "scopus_author_id"=>"55401559200"}, {"first_name"=>"Zeina A.", "last_name"=>"Kanafani", "scopus_author_id"=>"56412588800"}, {"first_name"=>"Tahaniyat", "last_name"=>"Lalani", "scopus_author_id"=>"57191340067"}, {"first_name"=>"Selwyn", "last_name"=>"Lang", "scopus_author_id"=>"7401701124"}, {"first_name"=>"Nigel", "last_name"=>"Raymond", "scopus_author_id"=>"7007148399"}, {"first_name"=>"Kerry", "last_name"=>"Read", "scopus_author_id"=>"7006833032"}, {"first_name"=>"Tatiana", "last_name"=>"Vinogradova", "scopus_author_id"=>"57197508201"}, {"first_name"=>"Christopher W.", "last_name"=>"Woods", "scopus_author_id"=>"55769746076"}, {"first_name"=>"Dannah", "last_name"=>"Wray", "scopus_author_id"=>"7006662161"}, {"first_name"=>"G. 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W.", "last_name"=>"Karchmer", "scopus_author_id"=>"7006105345"}, {"first_name"=>"David R.", "last_name"=>"Murdoch", "scopus_author_id"=>"55617933500"}, {"first_name"=>"Daniel J.", "last_name"=>"Sexton", "scopus_author_id"=>"7103372855"}, {"first_name"=>"Andrew", "last_name"=>"Wang", "scopus_author_id"=>"55769746268"}, {"first_name"=>"Arnold S.", "last_name"=>"Bayer", "scopus_author_id"=>"12765209200"}, {"first_name"=>"Christopher H.", "last_name"=>"Cabell", "scopus_author_id"=>"56231468100"}, {"first_name"=>"Vivian", "last_name"=>"Chu", "scopus_author_id"=>"55702947600"}, {"first_name"=>"David T.", "last_name"=>"Durack", "scopus_author_id"=>"7004584009"}, {"first_name"=>"Susannah", "last_name"=>"Eykyn", "scopus_author_id"=>"35944643000"}, {"first_name"=>"Bruno", "last_name"=>"Hoen", "scopus_author_id"=>"35227454800"}, {"first_name"=>"Phillipe", "last_name"=>"Moreillon", "scopus_author_id"=>"7005018066"}, {"first_name"=>"Lars", "last_name"=>"Olaison", "scopus_author_id"=>"35314944600"}, {"first_name"=>"Didier", "last_name"=>"Raoult", "scopus_author_id"=>"55144875700"}, {"first_name"=>"Ethan", "last_name"=>"Rubinstein", "scopus_author_id"=>"55704800800"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84877859498", "issn"=>"19326203", "scopus"=>"2-s2.0-84877859498", "pmid"=>"23690995", "pui"=>"368937343", "doi"=>"10.1371/journal.pone.0063181"}, "id"=>"197023d9-c643-38b7-ade5-6c1fd6a902c1", "abstract"=>"The HACEK organisms (Haemophilus species, Aggregatibacter species, Cardiobacterium hominis, Eikenella corrodens, and Kingella species) are rare causes of infective endocarditis (IE). The objective of this study is to describe the clinical characteristics and outcomes of patients with HACEK endocarditis (HE) in a large multi-national cohort. Patients hospitalized with definite or possible infective endocarditis by the International Collaboration on Endocarditis Prospective Cohort Study in 64 hospitals from 28 countries were included and characteristics of HE patients compared with IE due to other pathogens. Of 5591 patients enrolled, 77 (1.4%) had HE. HE was associated with a younger age (47 vs. 61 years; p<0.001), a higher prevalence of immunologic/vascular manifestations (32% vs. 20%; p<0.008) and stroke (25% vs. 17% p = 0.05) but a lower prevalence of congestive heart failure (15% vs. 30%; p = 0.004), death in-hospital (4% vs. 18%; p = 0.001) or after 1 year follow-up (6% vs. 20%; p = 0.01) than IE due to other pathogens (n = 5514). On multivariable analysis, stroke was associated with mitral valve vegetations (OR 3.60; CI 1.34-9.65; p<0.01) and younger age (OR 0.62; CI 0.49-0.90; p<0.01). The overall outcome of HE was excellent with the in-hospital mortality (4%) significantly better than for non-HE (18%; p<0.001). Prosthetic valve endocarditis was more common in HE (35%) than non-HE (24%). The outcome of prosthetic valve and native valve HE was excellent whether treated medically or with surgery. Current treatment is very successful for the management of both native valve prosthetic valve HE but further studies are needed to determine why HE has a predilection for younger people and to cause stroke. The small number of patients and observational design limit inferences on treatment strategies. Self selection of study sites limits epidemiological inferences.", "link"=>"http://www.mendeley.com/research/hacek-infective-endocarditis-characteristics-outcomes-large-multinational-cohort-1", "reader_count"=>53, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>3, "Librarian"=>3, "Student > Doctoral Student"=>6, "Researcher"=>10, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Other"=>10, "Student > Master"=>2, "Student > Bachelor"=>7, "Lecturer"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>3, "Librarian"=>3, "Student > Doctoral Student"=>6, "Researcher"=>10, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Other"=>10, "Student > Master"=>2, "Student > Bachelor"=>7, "Lecturer"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Medicine and Dentistry"=>42, "Agricultural and Biological Sciences"=>4, "Veterinary Science and Veterinary Medicine"=>1, "Computer Science"=>1, "Immunology and Microbiology"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>42}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Computer Science"=>{"Computer Science"=>1}, "Unspecified"=>{"Unspecified"=>3}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Canada"=>2, "Chile"=>2, "Spain"=>1}, "group_count"=>2}

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/1560254"], "description"=>"*<p>Values are reported as <i>n/n (%)</i>, unless otherwise noted.</p>†<p>Aortic valve- homograft 1, unknown repair 1; mitral valve – repair with prosthesis 1, other 2. TEE = Transesophageal ECHO.</p>‡<p>Specimens that were culture-positive were heart valve (20), joint fluid (2), pacemaker wire (1), urine (1) and other (5) §Myocardial wall 2, chordae 1, intracardiac device 1.</p>**<p>1 year mortality data was available on 57(74%) of HE and 4208(76%) of non-HE subjects.</p>", "links"=>[], "tags"=>["cardiovascular", "Acute cardiovascular problems", "Congenital heart disease", "Heart failure", "stroke", "Valvular disease", "Drugs and devices", "Medical devices", "Infectious diseases", "Bacterial diseases", "bloodstream infections", "Haemophilus influenzae", "Kingella kingae infection", "hacek", "endocarditis", "compared", "causes", "infective"], "article_id"=>1079559, "categories"=>["Medicine"], "users"=>["Stephen T. Chambers", "David Murdoch", "Arthur Morris", "David Holland", "Paul Pappas", "Manel Almela", "Nuria Fernández-Hidalgo", "Benito Almirante", "Emilio Bouza", "Davide Forno", "Ana del Rio", "Margaret M. Hannan", "John Harkness", "Zeina A. Kanafani", "Tahaniyat Lalani", "Selwyn Lang", "Nigel Raymond", "Kerry Read", "Tatiana Vinogradova", "Christopher W. Woods", "Dannah Wray", "G. Ralph Corey", "Vivian H. Chu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0063181.t002", "stats"=>{"downloads"=>0, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Important_features_of_HACEK_endocarditis_compared_with_all_other_causes_of_infective_endocarditis_in_database_/1079559", "title"=>"Important features of HACEK endocarditis compared with all other causes of infective endocarditis in database<sup>*</sup>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-05-17 11:30:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/1560253"], "description"=>"*<p>Values are reported as <i>n/n (%)</i>, unless otherwise noted.</p>†<p>There was missing data for stroke on one patient.</p>", "links"=>[], "tags"=>["cardiovascular", "Acute cardiovascular problems", "Congenital heart disease", "Heart failure", "stroke", "Valvular disease", "Drugs and devices", "Medical devices", "Infectious diseases", "Bacterial diseases", "bloodstream infections", "Haemophilus influenzae", "Kingella kingae infection", "multivariate", "hacek"], "article_id"=>1079557, "categories"=>["Medicine"], "users"=>["Stephen T. Chambers", "David Murdoch", "Arthur Morris", "David Holland", "Paul Pappas", "Manel Almela", "Nuria Fernández-Hidalgo", "Benito Almirante", "Emilio Bouza", "Davide Forno", "Ana del Rio", "Margaret M. Hannan", "John Harkness", "Zeina A. Kanafani", "Tahaniyat Lalani", "Selwyn Lang", "Nigel Raymond", "Kerry Read", "Tatiana Vinogradova", "Christopher W. Woods", "Dannah Wray", "G. Ralph Corey", "Vivian H. Chu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0063181.t003", "stats"=>{"downloads"=>0, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Univariate_and_multivariate_analysis_for_the_risk_of_stroke_in_HACEK_endocarditis_/1079557", "title"=>"Univariate and multivariate analysis for the risk of stroke in HACEK endocarditis<sup>*</sup>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-05-17 11:30:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/1560247"], "description"=>"*<p>Values are reported as <i>n/n (%)</i>, unless otherwise noted.</p>†<p>1 year mortality data was available on 33 (70%) subjects with native valve HE and 22(81%) subjects with prosthetic valve HE.</p>", "links"=>[], "tags"=>["cardiovascular", "Acute cardiovascular problems", "Congenital heart disease", "Heart failure", "stroke", "Valvular disease", "Drugs and devices", "Medical devices", "Infectious diseases", "Bacterial diseases", "bloodstream infections", "Haemophilus influenzae", "Kingella kingae infection", "valve", "hacek", "endocarditis", "prosthetic"], "article_id"=>1079551, "categories"=>["Medicine"], "users"=>["Stephen T. Chambers", "David Murdoch", "Arthur Morris", "David Holland", "Paul Pappas", "Manel Almela", "Nuria Fernández-Hidalgo", "Benito Almirante", "Emilio Bouza", "Davide Forno", "Ana del Rio", "Margaret M. Hannan", "John Harkness", "Zeina A. Kanafani", "Tahaniyat Lalani", "Selwyn Lang", "Nigel Raymond", "Kerry Read", "Tatiana Vinogradova", "Christopher W. Woods", "Dannah Wray", "G. Ralph Corey", "Vivian H. Chu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0063181.t004", "stats"=>{"downloads"=>2, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_between_the_features_of_native_valve_HACEK_endocarditis_and_prosthetic_valve_HACEK_endocarditis_/1079551", "title"=>"Comparison between the features of native valve HACEK endocarditis and prosthetic valve HACEK endocarditis<sup>*</sup>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-05-17 11:30:31"}

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences", "average_usage"=>[264, 460, 584, 692, 794, 887, 978, 1067, 1154, 1241, 1328, 1408, 1474]}, {"subject_area"=>"/Medicine and health sciences/Medical devices and equipment", "average_usage"=>[247, 414, 525, 627, 733, 814, 899, 978, 1065, 1144, 1212, 1261, 1331]}, {"subject_area"=>"/Medicine and health sciences/Surgical and invasive medical procedures", "average_usage"=>[223, 396, 511, 599, 690, 775, 859, 936, 1012, 1090, 1168, 1237, 1299]}]}
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