Cardio-oncology & other

Clinical outcomes in blood culture-negative versus blood culture-positive infective endocarditis: a systematic review and meta-analysis

HeartPublished Systematic review and meta-analysis

Pooled result · Short-term mortalityResult — go to the resultRelative risk 0.95 95% CI 0.77–1.19

Authors' conclusion

In this study-level meta-analysis, short-term mortality did not differ between BCNIE and BCPIE. However, complication rates varied: heart failure was more common in BCNIE, whereas embolic events were less frequent.

Study context

Population
Patients with infective endocarditis
Participants
17,661 patients35 studies
Comparison
Blood culture-negative infective endocarditis (BCNIE) vs BCPIE
Outcome
Short-term mortality
Methodological detailsrandom-effects model, study-level
  • Random-effects model
  • Study-level

Pooled result

As reported in the abstract

Relative risk

0.95

95% CI 0.77–1.19

BCNIEvs BCPIE
RR 0.95 (95% CI 0.77–1.19)

Further pooled results

OutcomeRR (95% CI)
HF1.33 (1.16–1.51)
Embolic events0.81 (0.69–0.95)

Mortality by study design, region, sample size, publication year (subgroups)

Mortality outcomes consistent across subgroups

Original publication

Clinical outcomes in blood culture-negative versus blood culture-positive infective endocarditis: a systematic review and meta-analysis. Heart. Published 17 November 2025. doi:10.1136/heartjnl-2025-326633

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.