Evidence map›Paper›PMID 36338282›Full record

ArticleJournal of geriatric cardiology : JGC2022

Using preoperative N-terminal pro-B-type natriuretic peptide levels for predicting major adverse cardiovascular events and myocardial injury after noncardiac surgery in Chinese advanced-age patients.

Kai Zhang, Chang Liu, Jian Tan, Yu-Hai Xu, Jiang-Bei Cao, Yan-Hong Liu, Qiang Fu, Jing-Sheng Lou, Wei-Dong Mi, Hao Li

Abstract read
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Article in Journal of geriatric cardiology : JGC, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Kai ZhangDepartment of Anesthesiology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Chang LiuDepartment of Anesthesiology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Jian TanDepartment of Thoracic Surgery, the Seventh Medical Centre, Chinese PLA General Hospital, Beijing, China.
Yu-Hai XuDepartment of Anesthesiology, Air Force Medical Center, Beijing, China.
Jiang-Bei CaoDepartment of Anesthesiology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Yan-Hong LiuDepartment of Anesthesiology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Qiang FuDepartment of Anesthesiology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Jing-Sheng LouDepartment of Anesthesiology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Wei-Dong MiDepartment of Anesthesiology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Hao LiDepartment of Anesthesiology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundN-terminal pro-B-type natriuretic peptide (NT-proBNP) is often viewed as an indicator for heart failure. However, the prognostic association and the predictive utility of NT-proBNP for postoperative major adverse cardiovascular events (MACEs) and myocardial injury after noncardiac surgery (MINS) among older patients are unclear.

methodsIn this study, we included 5033 patients aged 65 years or older who underwent noncardiac surgery with preoperative NT-proBNP recorded. Logistic regression was adopted to model the associations between preoperative NT-proBNP and the risk of MACEs and MINS. The receiver operating characteristic curve was used to determine the predictive value of NT-proBNP.

resultsA total of 5033 patients were enrolled, 63 patients (1.25%) and 525 patients (10.43%) had incident postoperative MACEs and MINS, respectively. Analysis of the receiver operating characteristic curve indicated that the cutoff values of ln (NT-proBNP) for MACEs and MINS were 5.16 (174 pg/mL) and 5.30 (200 pg/mL), respectively. Adding preoperative ln (NT-proBNP) to the Revised Cardiac Risk Index score and the Cardiac and Stroke Risk Model boosted the area under the receiver operating characteristic curves from 0.682 to 0.726 and 0.787 to 0.804, respectively. The inclusion of preoperative NT-proBNP in the prediction models significantly increased the reclassification and discrimination.

conclusionsIncreased preoperative NT-proBNP was associated with a higher risk of postoperative MACEs and MINS. The inclusion of NT-proBNP enhances the predictive ability of the preexisting models.

Identifiers

PMID36338282
PMCPMC9618846

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