Evidence map›Paper›PMID 29951921›Full record

Observational studyLung2018

N-Terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP) as a Diagnostic Biomarker of Left Ventricular Systolic Dysfunction in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD).

Ilija Andrijevic, Senka Milutinov, Zagorka Lozanov Crvenkovic, Jovan Matijasevic, Ana Andrijevic, Tomi Kovacevic, Darijo Bokan, Bojan Zaric

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Lung, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Assessment of Work Ability of Patients with COPD in Relation to the Workplace.Indian journal of occupational and environmental medicine
    Article
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 1 institution in 1 country.

Ilija AndrijevicInstitute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia.
Senka MilutinovInstitute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia.
Zagorka Lozanov CrvenkovicFaculty of Sciences, University of Novi Sad, Sremska Kamenica, Serbia.
Jovan MatijasevicInstitute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia.
Ana AndrijevicInstitute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia.
Tomi KovacevicInstitute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia.
Darijo BokanInstitute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia.
Bojan ZaricInstitute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Put doktora Goldmana 4, 21204, Sremska Kamenica, Serbia. bojan.zaric@institut.rs.ORCID http://orcid.org/0000-0003-3215-8390
University of Novi Sad · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLeft ventricular systolic dysfunction (LVSD) and cardiac decompensation often accompany AECOPD. Differentiation between the two is difficult and mainly relies on clinical and echocardiographic diagnostic procedures. The value of biomarkers, such as NT-proBNP, as diagnostic tools is still insufficiently investigated. The main goals of this trial were to investigate the value of NT-proBNP as a diagnostic tool for LVSD in AECOPD patients and determine its cut-off value which could reliably diagnose LVSD during AECOPD. PATIENTS AND

methodsThis trial prospectively enrolled 209 patients with AECOPD. The patients were divided into four groups-AECOPD plus chronic pulmonary heart disease (CPHD) with or without left ventricular compromise (LVSD), and AECOPD patients without CPHD with or without LVSD. NT-proBNP was measured within first 48 h of hospitalization.

resultsMajority of patients were male (61%) active smokers (41.6%), average age of 68 years. High quality of echocardiography was obtained in 63.3 and 22.5% of the patients had LVSD. Average value of NT-proBNP in patients with LVSD was 3303.2 vs. 1092.5 pg/mL in patients without LVSD. Significant differences in NT-proBNP value (p = 0.0001) were determined between observed patient groups. At the cut-off value of 1505 pg/mL, sensitivity, specificity, and positive and negative predictive values are 76.6, 83.3, 57.1, and 92.47%, respectively.

conclusionAt the cut-off value of 1505 pg/mL NT-proBNP could be used as a diagnostic marker for LVSD in acute exacerbation of COPD.

Indexed as

AdultAgedAged, 80 and overBiomarkersChronic DiseaseDisease ProgressionEchocardiographyFemaleHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsProspective StudiesPulmonary Disease, Chronic ObstructivePulmonary Heart DiseaseBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Acute exacerbationChronic obstructive pulmonary disease (COPD)Left ventricular dysfunction (LVD)NT-proBNP

Identifiers

PMID29951921
OpenAlexW2810704811

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.