Evidence map›Paper›PMID 35430641›Full record

ArticleInfection2022

Dissecting the correlates of N-terminal prohormone brain natriuretic peptide in acute infective endocarditis.

Lorenzo Bertolino, Maria Paola Ursi, Domenico Iossa, Arta Karruli, Fabiana D'Amico, Rosa Zampino, Giovanni Dialetto, Marisa De Feo, Emanuele Durante-Mangoni, Monaldi Hospital Cardiovascular Infection Study Group

Open access · hybridAbstract read
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Article in Infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Lorenzo BertolinoDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Naples, Italy.
Maria Paola UrsiDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Naples, Italy.
Domenico IossaDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Naples, Italy.
Arta KarruliDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Naples, Italy.
Fabiana D'AmicoDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Naples, Italy.
Rosa ZampinoDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Naples, Italy.
Giovanni DialettoUnit of Cardiac Surgery, AORN Ospedali Dei Colli-Monaldi Hospital, Naples, Italy.
Marisa De FeoUnit of Cardiac Surgery, AORN Ospedali Dei Colli-Monaldi Hospital, Naples, Italy.
Emanuele Durante-MangoniUnit of Infectious and Transplant Medicine, AORN Ospedali Dei Colli-Monaldi Hospital, Piazzale Ettore Ruggieri, 80131, Naples, Italy. emanuele.durante@unicampania.it.ORCID http://orcid.org/0000-0002-5381-3537
Monaldi Hospital Cardiovascular Infection Study Group
University of Campania "Luigi Vanvitelli" · ITOspedale Monaldi · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the prognostic value and the correlates of NT-proBNP in patients with acute infective endocarditis, a life-threatening disease, with an often unpredictable outcome given by the lack of reliable prognostic parameters.

methodsWe retrospectively studied 337 patients admitted to our centre between January 1, 2006 and September 30, 2020 with available NT-proBNP level at admission. Our analyses were performed considering NT-proBNP as both a categorical variable, using the median value as the cut-off level, and numerical variable. Study end points were in-hospital mortality, cardiac surgery and 1 year survival.

resultsNT-proBNP was an independent predictor of in-hospital mortality (OR 14.9 [95%C.I. 2.46-90.9]; P = .003). Levels below 2926 pg/mL were highly predictive of a favorable in-hospital outcome (negative predictive value 96.6%). Patients with higher NT-proBNP levels showed a significantly lower survival rate at 1 year follow-up (log-rank P = .005). NT-proBNP was strongly associated with chronic kidney disease (P < .001) and significantly higher in patients with prior chronic heart failure (P = .001). NT-proBNP was tightly related to staphylococcal IE (P = .001) as well as with higher CRP and hs-troponin I (P = 0.023, P < .001, respectively).

conclusionOur results confirm the remarkable prognostic role of NT-proBNP in patients with IE and provide novel evidences of its multifaceted correlates in this unique clinical setting. Our data strongly support the incorporation of NT-proBNP into the current diagnostic work-up of IE.

Indexed as

Endocarditis, BacterialNatriuretic Peptide, BrainBiomarkersHumansPeptide FragmentsPrognosisRetrospective StudiesBiomarkersNatriuretic Peptide, BrainPeptide FragmentsEndocarditisHeart failureNT-proBNPPrognostic value

Identifiers

PMID35430641
PMCPMC9705495
OpenAlexW4224231403

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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.