Association between sepsis survivorship and long-term cardiovascular outcomes in adults : a systematic review and meta-analysis
© 2021. Springer-Verlag GmbH Germany, part of Springer Nature..
PURPOSE: We aimed to determine the association between sepsis and long-term cardiovascular events.
METHODS: We conducted a systematic review of observational studies evaluating post-sepsis cardiovascular outcomes in adult sepsis survivors. MEDLINE, Embase, and the Cochrane Controlled Trials Register and Database of Systematic Reviews were searched from inception until April 21st, 2021. Two reviewers independently extracted individual study data and evaluated risk of bias. Random-effects models estimated the pooled crude cumulative incidence and adjusted hazard ratios (aHRs) of cardiovascular events compared to either non-septic hospital survivors or population controls. Primary outcomes included myocardial infarction, stroke, and congestive heart failure; outcomes were analysed at maximum reported follow-up (from 30 days to beyond 5 years post-discharge).
RESULTS: Of 12,649 screened citations, 27 studies (25 cohort studies, 2 case-crossover studies) were included with a median of 4,289 (IQR 502-68,125) sepsis survivors and 18,399 (IQR 4,028-83,506) controls per study. The pooled cumulative incidence of myocardial infarction, stroke, and heart failure in sepsis survivors ranged from 3 to 9% at longest reported follow-up. Sepsis was associated with a higher long-term risk of myocardial infarction (aHR 1.77 [95% CI 1.26 to 2.48]; low certainty), stroke (aHR 1.67 [95% CI 1.37 to 2.05]; low certainty), and congestive heart failure (aHR 1.65 [95% CI 1.46 to 1.86]; very low certainty) compared to non-sepsis controls.
CONCLUSIONS: Surviving sepsis may be associated with a long-term, excess hazard of late cardiovascular events which may persist for at least 5 years following hospital discharge.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
|---|---|
| Enthalten in: |
Intensive care medicine - 47(2021), 9 vom: 10. Sept., Seite 931-942 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Kosyakovsky, Leah B [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Cardiovascular outcomes |
|---|
| Anmerkungen: |
Date Completed 13.10.2021 Date Revised 13.10.2021 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00134-021-06479-y |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM329180355 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM329180355 | ||
| 003 | DE-627 | ||
| 005 | 20231225204546.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00134-021-06479-y |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1097.xml |
| 035 | |a (DE-627)NLM329180355 | ||
| 035 | |a (NLM)34373953 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Kosyakovsky, Leah B |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Association between sepsis survivorship and long-term cardiovascular outcomes in adults |b a systematic review and meta-analysis |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 13.10.2021 | ||
| 500 | |a Date Revised 13.10.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021. Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a PURPOSE: We aimed to determine the association between sepsis and long-term cardiovascular events | ||
| 520 | |a METHODS: We conducted a systematic review of observational studies evaluating post-sepsis cardiovascular outcomes in adult sepsis survivors. MEDLINE, Embase, and the Cochrane Controlled Trials Register and Database of Systematic Reviews were searched from inception until April 21st, 2021. Two reviewers independently extracted individual study data and evaluated risk of bias. Random-effects models estimated the pooled crude cumulative incidence and adjusted hazard ratios (aHRs) of cardiovascular events compared to either non-septic hospital survivors or population controls. Primary outcomes included myocardial infarction, stroke, and congestive heart failure; outcomes were analysed at maximum reported follow-up (from 30 days to beyond 5 years post-discharge) | ||
| 520 | |a RESULTS: Of 12,649 screened citations, 27 studies (25 cohort studies, 2 case-crossover studies) were included with a median of 4,289 (IQR 502-68,125) sepsis survivors and 18,399 (IQR 4,028-83,506) controls per study. The pooled cumulative incidence of myocardial infarction, stroke, and heart failure in sepsis survivors ranged from 3 to 9% at longest reported follow-up. Sepsis was associated with a higher long-term risk of myocardial infarction (aHR 1.77 [95% CI 1.26 to 2.48]; low certainty), stroke (aHR 1.67 [95% CI 1.37 to 2.05]; low certainty), and congestive heart failure (aHR 1.65 [95% CI 1.46 to 1.86]; very low certainty) compared to non-sepsis controls | ||
| 520 | |a CONCLUSIONS: Surviving sepsis may be associated with a long-term, excess hazard of late cardiovascular events which may persist for at least 5 years following hospital discharge | ||
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Cardiovascular outcomes | |
| 650 | 4 | |a Heart failure | |
| 650 | 4 | |a Myocardial infarction | |
| 650 | 4 | |a Sepsis | |
| 650 | 4 | |a Stroke | |
| 700 | 1 | |a Angriman, Federico |e verfasserin |4 aut | |
| 700 | 1 | |a Katz, Emma |e verfasserin |4 aut | |
| 700 | 1 | |a Adhikari, Neill K |e verfasserin |4 aut | |
| 700 | 1 | |a Godoy, Lucas C |e verfasserin |4 aut | |
| 700 | 1 | |a Marshall, John C |e verfasserin |4 aut | |
| 700 | 1 | |a Ferreyro, Bruno L |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Douglas S |e verfasserin |4 aut | |
| 700 | 1 | |a Rosenson, Robert S |e verfasserin |4 aut | |
| 700 | 1 | |a Sattar, Naveed |e verfasserin |4 aut | |
| 700 | 1 | |a Verma, Subodh |e verfasserin |4 aut | |
| 700 | 1 | |a Toma, Augustin |e verfasserin |4 aut | |
| 700 | 1 | |a Englesakis, Marina |e verfasserin |4 aut | |
| 700 | 1 | |a Burstein, Barry |e verfasserin |4 aut | |
| 700 | 1 | |a Farkouh, Michael E |e verfasserin |4 aut | |
| 700 | 1 | |a Herridge, Margaret |e verfasserin |4 aut | |
| 700 | 1 | |a Ko, Dennis T |e verfasserin |4 aut | |
| 700 | 1 | |a Scales, Damon C |e verfasserin |4 aut | |
| 700 | 1 | |a Detsky, Michael E |e verfasserin |4 aut | |
| 700 | 1 | |a Bibas, Lior |e verfasserin |4 aut | |
| 700 | 1 | |a Lawler, Patrick R |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Intensive care medicine |d 1993 |g 47(2021), 9 vom: 10. Sept., Seite 931-942 |w (DE-627)NLM000234818 |x 1432-1238 |7 nnns |
| 773 | 1 | 8 | |g volume:47 |g year:2021 |g number:9 |g day:10 |g month:09 |g pages:931-942 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00134-021-06479-y |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 47 |j 2021 |e 9 |b 10 |c 09 |h 931-942 | ||