Inferior vena cava filters do not increase the risk of blood stream infections in patients with newly diagnosed VTE

•We have found that in patients with a new diagnosis of venous thromboembolism, presence of an IVC filter was not associated with an increased incidence of bloodstream infection after 1 year.•This is the first study to compare the rates of infection between patients who have had an IVC filter and patients who have suffered from venous thromboembolism but who have not have had a filter placed.•Methicillin resistant Staphylococcus aureus and gram negative bacilli were the most commonly cultured infectious organisms in our study, regardless of if the patient had an IVC filter present or not. The association between inferior vena cava (IVC) filter presence and subsequent bloodstream infection (BSI) is unknown. We hypothesized among patients with a new diagnosis of venous thromboembolism (VTE), incidence of BSI after 1 year would be higher in patients who had presence of an IVC filter. We performed a retrospective cohort study of patients with newly diagnosed VTE but no IVC filter (N = 4,053) and patients with IVC filter (N = 635) admitted to a metropolitan hospital system from 2006 to 2009 comparing incidence of BSI within 1 year of inclusion. Multivariable regression modeling was used to evaluate the association of IVC filter placement with BSI 1 year after placement. Patients with an IVC filter placed were more likely to be older with higher Charlson co-morbidity score (median 4 vs 1; P < .001). The incidence of BSI was not different between the group with IVC filter and the group without (10.7% vs 8.8%; P = .12). There was no association with IVC filter placement and BSI before or after multivariable adjustment. In patients newly diagnosed with VTE, we found no association between IVC filter placement and increased incidence of BSI after 1 year

The aorta in humans and African great apes, and cardiac output and metabolic levels in human evolution

L.R., A.R. and F.P. are supported by Grant PID2021-122356NB-I00, Spanish Ministry of Science and Innovation and the European Union. The visit of L.R. to the Africa Museum was supported by Grant Synthesys BE-TAF-105, from the Synthesys Program. Thanks to Emmanuel Gilissen and the staff from the Africa Museum for their help. Great Ape Heart Project funding support comes from the Detroit Zoological Society and the Institute of Museum and Library Services Grant #MG-80-19-0008-19. M.B. is supported by Grant PID2020-115854GB-I00, Spanish Ministry of Science and Innovation and the European Union. Thanks to C.M. Dean, from University College London, for his comments.Humans have a larger energy budget than great apes, allowing the combination of the metabolically expensive traits that define our life history. This budget is ultimately related to the cardiac output, the product of the blood pumped from the ventricle and the number of heart beats per minute, a measure of the blood available for the whole organism physiological activity. To show the relationship between cardiac output and energy expenditure in hominid evolution, we study a surrogate measure of cardiac output, the aortic root diameter, in humans and great apes. When compared to gorillas and chimpanzees, humans present an increased body mass adjusted aortic root diameter. We also use data from the literature to show that over the human lifespan, cardiac output and total energy expenditure follow almost identical trajectories, with a marked increase during the period of brain growth, and a plateau during most of the adult life. The limited variation of adjusted cardiac output with sex, age and physical activity supports the compensation model of energy expenditure in humans. Finally, we present a first study of cardiac output in the skeleton through the study of the aortic impression in the vertebral bodies of the spine. It is absent in great apes, and present in humans and Neanderthals, large-brained hominins with an extended life cycle. An increased adjusted cardiac output, underlying higher total energy expenditure, would have been a key process in human evolution.Depto. de Biodiversidad, Ecología y EvoluciónFac. de Ciencias BiológicasTRUEpu