Risk for Sepsis During Mechanical Circulatory Support Article Swipe
Kristie L. Gore
,
Dean Linder
,
Juan C. Duque
,
Junxi Wang
,
Joshua Baguley
,
Cortland Kolesnikowicz
,
Shaun Yockelson
,
Manila Singh
,
Alfons Macaya
,
Bobby D. Nossaman
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1051/ject/2025041
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1051/ject/2025041
Introduction Patients receiving mechanical circulatory support (MCS) risk the development of sepsis. Examining risk factors for the development of sepsis and their relationships to MCS may allow improved understanding of these complications. Methods Following IRB approval, patient characteristics, previously reported comorbidities and the incidence of sepsis were studied in 199 patients who received 244 MCS therapies from January 2017 to October 2023. The clinical variables underwent ensemble machine learning modeling. Significant comorbidities predicting sepsis from the ensemble machine modeling underwent decision-tree analysis. Results In this study, the incidence of sepsis was 20% CI 16-26%. Following machine learning modeling, patients with a history of congestive heart failure or a history of previous cardiac surgery were associated with an increased risk for developing sepsis (Tables 1 & 2). The c-index statistic for this model was 0.76 and with a misclassification rate of 19%. Decision-tree analysis observed that patients without chronic cardiovascular disease but with a history of prior cardiac surgery have a 60.3% CI 60.1-65.2% incidence of sepsis during MCS therapy (Fig. 1). Patients with a history of chronic cardiovascular disease and with a history of congestive heart failure have an 18.1% CI 17.2-18.7% incidence of developing sepsis. Conclusion The incidence of sepsis is high in this patient population. The novel associations of patients who have histories of congestive heart failure or previous cardiac surgery requiring MCS suggest an increased systemic inflammatory state exists that escalates the risk for developing sepsis. Further investigation into these background inflammatory conditions in patients requiring MCS is warranted.
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Metadata
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- en
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- https://ject.edpsciences.org/articles/ject/pdf/forth/ject250031.pdf
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https://doi.org/10.1051/ject/2025041Digital Object Identifier
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Risk for Sepsis During Mechanical Circulatory SupportWork title
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articleOpenAlex work type
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enPrimary language
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2025Year of publication
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2025-07-31Full publication date if available
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Kristie L. Gore, Dean Linder, Juan C. Duque, Junxi Wang, Joshua Baguley, Cortland Kolesnikowicz, Shaun Yockelson, Manila Singh, Alfons Macaya, Bobby D. NossamanList of authors in order
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https://doi.org/10.1051/ject/2025041Publisher landing page
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https://ject.edpsciences.org/articles/ject/pdf/forth/ject250031.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://ject.edpsciences.org/articles/ject/pdf/forth/ject250031.pdfDirect OA link when available
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Circulatory system, Sepsis, Intensive care medicine, Medicine, Cardiology, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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| institutions_distinct_count | 10 |
| citation_normalized_percentile.value | 0.41215916 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |