Cardiothoracic & vascular anesthesia

Relationship between endotoxin core and staphylococcal antibody levels and outcome following transcatheter aortic valve implantation (TAVI)

Perioper Med (Lond)Published Prospective observational cohort study

Authors' conclusion

This study indicates that there is little association between post-procedural length of stay in hospital following TAVI and pre-procedural antibody levels to endotoxin or staphylococcus, unlike that seen with surgical patients.

Study context

Population
Adults scheduled for elective TAVI112 sera assayed
Participants
122 adults
Exposure
Pre-procedure antibody level quartiles
Outcome
Post-procedure LOS in hospital
Methodological detailssub-group of a larger observational cohort study
  • Sub-group of a larger observational cohort study

Main finding

As reported in the abstract

Correlation of antibody levels with LOS
Teichoic acid correlation with length of stay (LOS) r2
0.02
Alpha-toxin correlation with LOS r2
0.02
EndoCAb correlation with LOS r2
< 0.02
Combined rank correlation with LOS r2
0.03
Median LOS across quartiles, teichoic acid (ANOVA)
p = 0.153
Median LOS across quartiles, alpha-toxin (ANOVA)
p = 0.332
Median LOS across quartiles, EndoCAb (ANOVA)
p = 0.848
Median LOS across quartiles, combined rank (ANOVA)
p = 0.374

Observational data: associations, not effects.

Secondary outcomes

Post-operative infections across antibody quartiles

No differences, teichoic acid (ANOVA)
P = 0.994
No differences, alpha-toxin (ANOVA)
P = 0.962
No differences, EndoCAb (ANOVA)
P = 0.918
No differences, combined rank (ANOVA)
P = 0.855

Original publication

Relationship between endotoxin core and staphylococcal antibody levels and outcome following transcatheter aortic valve implantation (TAVI). Perioper Med (Lond). Published 14 August 2025. doi:10.1186/s13741-024-00464-x

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