Evidence map›Paper›PMID 41612218›Full record

ArticleBMC infectious diseases2026

Association between prothrombin time activity and short-term outcomes in patients with infective endocarditis.

Jingwen Li, Shuaizheng Che, Qiming Xie, Jielei Yang, Junquan Lu, Di Wu, Danqing Yu, Xuebiao Wei

Abstract read
In one paragraph

Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jingwen LiDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Shuaizheng CheDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Qiming XieDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Jielei YangDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Junquan LuDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Di WuDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Danqing YuDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China. gdydq100@126.com.
Xuebiao WeiDepartment of Geriatric Intensive Medicine, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, China. weixuebiao@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoagulopathy, a frequent complication of infectious diseases, is strongly associated with adverse clinical outcomes. This study aimed to investigate the prognostic value of prothrombin time activity (PTA) in patients with infective endocarditis (IE).

methodsA total of 1,533 IE patients were stratified into four groups based on quartiles of PTA at admission: 1) < 73% (n = 366); 2) 73%-83% (n = 381); 3) 84%-92% (n = 370); and 4) ≥ 93% (n = 416). Receiver operating characteristic (ROC) analysis was used to identify the optimal PTA cut-off for predicting in-hospital mortality. Multivariable regression and subgroup analyses were conducted to assess the association between PTA and 6-month mortality.

resultsThe in-hospital mortality was higher in IE patients with lower PTA (15.8% vs. 5.8% vs. 4.6% vs. 2.9%; P < 0.001). PTA was independently associated with in-hospital death (odds ratio: 0.98; 95% CI: 0.97-0.99; P < 0.001). ROC curve analysis identified 78% as the optimal PTA cut-off value for predicting in-hospital mortality, with a sensitivity of 67.8% and specificity of 66.1% (AUC: 0.704; P < 0.001). In multivariable Cox regression analysis, PTA < 78% was an independent predictor of 6-month mortality, with a 2.27-fold increased risk after adjusting for potential confounders (95% CI: 1.63-3.17; P = 0.025). The predictive performance of PTA was robust across subgroups stratified by infection site, disease severity, and organ dysfunction.

conclusionPTA < 78% at admission is an independent predictor of poor short-term outcomes in patients with IE. This novel finding highlights the importance of coagulation assessment in IE and facilitates early risk stratification in IE management.

Indexed as

EndocarditisProthrombin TimeAgedFemaleHospital MortalityHumansMaleMiddle AgedPrognosisRetrospective StudiesROC CurveInfective endocarditisPrognosisProthrombin time activity

Identifiers

PMID41612218
PMCPMC12924411

What Socratic holds

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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 Socratic graph.