Evidence map›Paper›PMID 37323310›Full record

ArticleCureus2023

Urinary NT-proBNP: A Useful Biomarker for the Diagnosis of Respiratory Distress in the Neonatal Population.

Evangelos Christou, Zoi Iliodromiti, Abraham Pouliakis, Eirini Loukatou, Pinelopi Varela, Adamantia Panagoulia, Anthia Chasiakou, Spyridon Zisimopoulos, Nicoletta Iacovidou, Theodora Boutsikou

Open access · diamondAbstract read
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Article in Cureus, 2023. 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
0.3field-weighted citation impact, top 38% 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. Observational
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 4 institutions in 1 country.

Evangelos ChristouDepartment of Pediatrics, Panagiotis & Aglaia Kyriakou Children's Hospital, Athens, GRC.
Zoi IliodromitiDepartment of Neonatology, Aretaieion University Hospital, Athens, GRC.
Abraham PouliakisEpidemiology and Public Health, 2nd Department of Pathology, National and Kapodistrian University of Athens, Athens, GRC.
Eirini LoukatouDepartment of Pediatrics, Alexandra General Hospital, Athens, GRC.
Pinelopi VarelaDepartment of Pediatrics, Alexandra General Hospital, Athens, GRC.
Adamantia PanagouliaDepartment of Biochemistry, Panagiotis & Aglaia Kyriakou Children's Hospital, Athens, GRC.
Anthia ChasiakouDepartment of Biopathology, Aretaieion University Hospital, Athens, GRC.
Spyridon ZisimopoulosDepartment of Pediatrics, Elena Venizelou General and Maternity Hospital, Athens, GRC.
Nicoletta IacovidouDepartment of Neonatology, Aretaieion University Hospital, Athens, GRC.
Theodora BoutsikouDepartment of Neonatology, Aretaieion University Hospital, Athens, GRC.
Alexandra Hospital · GRGeneral-Maternity District Hospital Helena Venizelou · GRNational and Kapodistrian University of Athens · GRAretaeio Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the diagnostic accuracy of urinary NT-proBNP levels in the detection and classification of the severity of respiratory distress in neonates after birth.

methodsWe compared the urinary NT- proBNP levels between the respiratory distress (RD) group and the control group on the 1st, 3rd, and 5th day of life (DOL).

resultsThe RD group (55 neonates) showed higher levels of NT-proBNP compared to the control group (63 neonates) on DOL1 (585.4 pg/ml vs 396.1 pg/ml (p=0.014)), DOL3 (805.1 pg/ml vs 271.9 pg/ml (p<0.001)) and DOL5 (409.7 pg/ml vs 94.4 pg/ml (p<0.001)). Especially, on DOL5, the area under the ROC curve was 0.884 and the NT-proBNP cut-off value (221.8 pg/ml) showed a sensitivity of 71% and specificity of 79%. The RD group was subclassified into neonates with mild (21 neonates), moderate (19 neonates), and severe (15 neonates) disease. NT-proBNP cut-off point of 668 pg/ml for DOL5 can safely differentiate neonates with severe disease from those with mild and moderate disease (combined subgroups) since the sensitivity was 80% and specificity was 77.5% for DOL5.

conclusionUrinary NT-proBNP levels are a useful biomarker in detecting clinical signs of respiratory distress in neonates that are born within the first week of life; they can also detect neonates that are vulnerable to severe forms of the disease.

Indexed as

biomarker#neonatent-pro bnprespiratory distressurine

Identifiers

PMID37323310
PMCPMC10266900
OpenAlexW4376614706

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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.