{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:01:47Z","timestamp":1747184507321,"version":"3.40.5"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The shift toward value\u2010based health care drives physicians to examine opportunities to optimize use of healthcare resources. There is discordance between providers\u2019 use of cardiovascular imaging (CVI) in assessing patients for infective endocarditis (IE) with <jats:italic>Staphylococcus<\/jats:italic> <jats:italic>aureus<\/jats:italic> bacteremia (SAB). An evidence\u2010based algorithm was created to minimize variation of CVI use. The primary objective was to ensure sensitivity of the algorithm to recommend CVI in patients suspected of IE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review evaluated patients at Ochsner Medical Center who developed SAB between 1\/1\/13 and 12\/31\/14. Predefined patient demographics, use of CVI, outcomes, and 12\u2010week follow\u2010up for readmission after first positive blood culture were collected from chart review. The created algorithm was applied retrospectively to determine its sensitivity and specificity in recommending the right CVI test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>181 patients admitted were admitted with SAB, of which 114 (63%) were male. There were 115 TTEs and 55 TEEs performed. Out of 15 patients diagnosed with IE, 3 were found on TTE and 12 were found on TEE. The algorithm would have recommended a TEE in all 15 patients who had high\u2010risk features for IE and a true diagnosis of IE, suggesting a sensitivity of 100% and specificity of 74.7% for the algorithm to have recommended a highly sensitive CVI modality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This algorithm optimizes CVI for diagnosing IE in patients with SAB. As healthcare adapts to a value\u2010based system, use of best\u2010practice algorithms will promote consistency in practice among providers and help optimize patient outcomes and use of resources.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.15022","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T14:31:07Z","timestamp":1615473067000},"page":"574-581","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing cardiovascular imaging in <i>Staphylococcus aureus<\/i> endocarditis"],"prefix":"10.1111","volume":"38","author":[{"given":"Sangeeta","family":"Shah","sequence":"first","affiliation":[{"name":"Department of Cardiology Pauley Heart Center Virginia Commonwealth University Health Sciences Richmond VA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6609-8632","authenticated-orcid":false,"given":"Tripti","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ochsner Clinic Foundation New Orleans LA USA"},{"name":"University of Queensland Ochsner School of Medicine Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J","family":"White","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ochsner Clinic Foundation New Orleans LA USA"},{"name":"University of Queensland Ochsner School of Medicine Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surma","family":"Jain","sequence":"additional","affiliation":[{"name":"University of Queensland Ochsner School of Medicine Brisbane Australia"},{"name":"Department of Pulmonary and Critical Care Ochsner Clinical Foundation New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Ramee","sequence":"additional","affiliation":[{"name":"University of Queensland Ochsner School of Medicine Brisbane Australia"},{"name":"Department of Hospital Medicine Ochsner Clinic Foundation New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salima","family":"Qamruddin","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ochsner Clinic Foundation New Orleans LA USA"},{"name":"University of Queensland Ochsner School of Medicine Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra A.","family":"Kemmerly","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Ochsner Clinic Foundation New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/echo.14189"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.03.518"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00134-14"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0127385"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2013.02.015"},{"issue":"1","key":"e_1_2_7_7_1","first-page":"22","article-title":"National costs associated with methicillin\u2010susceptible and methicillin\u2010resistant Staphylococcus aureus hospitalizations in the United States","volume":"68","author":"Klein EY","year":"2019","journal-title":"Clin Infect Dis"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/313753"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000296"},{"issue":"3","key":"e_1_2_7_10_1","first-page":"321","article-title":"Assessment of the Duke criteria for the diagnosis of infective endocarditis after twenty\u2010years. 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