Evidence map›Paper›PMID 34291225›Full record

ArticleCritical care explorations2021

Natriuretic Peptide Levels and Clinical Outcomes Among Patients Hospitalized With Coronavirus Disease 2019 Infection.

M Imran Aslam, Anum Minhas, Anahita Ghorbani, Julie K Shade, Vivek Jani, Steven Hsu, Kavita Sharma, Daniela Cihakova, Allison G Hays, Nisha A Gilotra

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 58% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 1 country.

M Imran AslamDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Anum MinhasDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Anahita GhorbaniDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Julie K ShadeDepartment of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD.
Vivek JaniDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Steven HsuDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Kavita SharmaDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Daniela CihakovaDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.
Allison G HaysDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Nisha A GilotraDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
NHLBI NIH HHS T32 HL007024NIGMS NIH HHS T32 GM136577
6 · The paper itself

Abstract

objectivesThere is increasing evidence of cardiovascular morbidity associated with severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019). Pro-B-type natriuretic peptide is a biomarker of myocardial stress, associated with various respiratory and cardiac outcomes. We hypothesized that pro-B-type natriuretic peptide level would be associated with mortality and clinical outcomes in hospitalized coronavirus disease 2019 patients.

designWe performed a retrospective analysis using adjusted logistic and linear regression to assess the association of admission pro-B-type natriuretic peptide (analyzed by both cutoff > 125 pg/mL and log transformed pro-B-type natriuretic peptide) with clinical outcomes. We additionally treated body mass index, a confounder of both pro-B-type natriuretic peptide levels and coronavirus disease 2019 outcomes, as an ordinal variable.

settingWe reviewed hospitalized patients with coronavirus disease 2019 who had a pro-B-type natriuretic peptide level measured within 48 hours of admission between March 1, and August 31, 2020, from a multihospital U.S. health system. PATIENTS: Adult patients (≥ 18 yr old;

interventionsNone. MEASUREMENTS AND MAIN

resultsAfter adjustment for demographics, comorbidities, and troponin I level, higher pro-B-type natriuretic peptide level was significantly associated with death and secondary outcomes of new heart failure, length of stay, ICU duration, and need for ventilation among hospitalized coronavirus disease 2019 patients. This significance persisted after adjustment for body mass index as an ordinal variable. The adjusted hazard ratio of death for log transformed pro-B-type natriuretic peptide was 1.56 (95% CI, 1.23-1.97;

conclusionsFurther investigation is warranted on the utility of pro-B-type natriuretic peptide for clinical prognostication in coronavirus disease 2019 as well as implications of abnormal pro-B-type natriuretic peptide in the underlying pathophysiology of coronavirus disease 2019-related myocardial injury.

Indexed as

biomarkerscoronavirus disease 2019heart failurenatriuretic peptideobesitypandemic

Identifiers

PMID34291225
PMCPMC8288900
OpenAlexW3186067315

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.