Evidence map›Paper›PMID 21427536›Full record

ArticleAnesthesiology2011

Increased peak postoperative B-type natriuretic peptide predicts decreased longer-term physical function after primary coronary artery bypass graft surgery.

Amanda A Fox, Edward R Marcantonio, Charles D Collard, Mathis Thoma, Tjorvi E Perry, Stanton K Shernan, Jochen D Muehlschlegel, Simon C Body

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Anesthesiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01258231 (Identification of Genomic Predictors of Adverse Events After Cardiac Surgery), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01258231 recruitingnot on this map

Identification of Genomic Predictors of Adverse Events After Cardiac Surgery

TypeobservationalSponsorBrigham and Women's HospitalRan2000 to 2030Enrolled4,000ConditionsHeart, Dysfunction Postoperative, Cardiac Surgery, Genetic Predisposition to Disease, Atrial Fibrillation
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 28 citations in OpenAlex.

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  4. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Amanda A FoxDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. afox@partners.org
Edward R Marcantonio
Charles D Collard
Mathis Thoma
Tjorvi E Perry
Stanton K Shernan
Jochen D Muehlschlegel
Simon C Body
Marymount University · USHadassah Medical Center · IL

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Identification of Genetic and Molecular Mechanisms of Atrial FibrillationR01HL098601 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BODY, SIMON C · 2010 to 2014
$2.2M
Mid-Career Mentoring Award for Patient-Oriented Research in AgingK24AG035075 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI MARCANTONIO, EDWARD R · 2010 to 2021
$1.9M
Genotypic Impact on Outcomes after CABG SurgeryK23HL068774 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BODY, SIMON C · 2002 to 2006
$803k
NCRR NIH HHS UL1 RR025758NCRR NIH HHS UL1 RR025758-01NHLBI NIH HHS K23 HL068774NHLBI NIH HHS K23HL068774NHLBI NIH HHS R01 HL098601NHLBI NIH HHS R01HL098601NIA NIH HHS K24 AG035075
6 · The paper itself

Abstract

backgroundIncreased peak postoperative B-type natriuretic peptide (BNP) is associated with increased major adverse cardiovascular events and all-cause mortality after coronary artery bypass graft (CABG) surgery. Whether increased postoperative BNP predicts worse postdischarge physical function (PF) is unknown. We hypothesized that peak postoperative BNP associates with PF assessed up to 2 yr after CABG surgery, even after adjusting for clinical risk factors. including preoperative PF.

methodsThis two-institution prospective cohort study included patients undergoing primary CABG surgery with cardiopulmonary bypass. Short Form-36 questionnaires were administered to subjects preoperatively and 6 months, 1 yr, and 2 yr postoperatively. Short Form-36 PF domain scores were calculated using the Short Form-36 norm-based scoring algorithm. Plasma BNP concentrations measured preoperatively and on postoperative days 1-5 were log(10) transformed before analysis. To determine whether peak postoperative BNP independently predicts PF scores 6 months through 2 yr after CABG surgery, multivariable longitudinal regression analysis of the postoperative PF scores was performed, adjusting for important clinical risk factors.

resultsA total of 845 subjects (mean ± SD age, 65 ± 10 yr) were analyzed. Peak postoperative BNP was significantly associated with postoperative PF (effect estimate for log(10) peak BNP, -7.66 PF score points [95% CI, -9.68 to -5.64]; P = <0.0001). After multivariable adjustments, peak postoperative BNP remained independently associated with postoperative PF (effect estimate for log(10) peak BNP, -3.06 PF score points [95% CI, -5.15 to -0.97]; P = 0.004).

conclusionsIncreased peak postoperative BNP independently associates with worse longer-term PF after primary CABG surgery. Future studies are needed to determine whether medical management targeted toward reducing increased postoperative BNP can improve PF after CABG surgery.

Indexed as

Activities of Daily LivingAgedBiomarkersCoronary Artery BypassFemaleFollow-Up StudiesHumansMaleMiddle AgedNatriuretic Peptide, BrainPostoperative PeriodPrognosisProspective StudiesTreatment OutcomeBiomarkersNatriuretic Peptide, Brain

Identifiers

PMID21427536
PMCPMC3063715
OpenAlexW2034338919

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.