Evidence map›Paper›PMID 40246864›Full record

ArticleScientific reports2025

Prognostic value of a combination of cardiac biomarkers and risk indices for major adverse cardiovascular events following non-cardiac surgery in geriatric patients: a prospective cohort study.

Xialian Hu, Yi Zhao, Mengchan Ou, Tao Zhu, Xuechao Hao

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Advances in biomarkers for myocardial injury after non-cardiac surgery.Journal of anesthesia and translational medicine · 2026
    Review
  3. Article
  4. 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

5 authors.

Xialian Hu *Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Yi Zhao *Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Mengchan Ou *Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Tao ZhuDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China. 739501155@qq.com.
Xuechao HaoDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China. aneshxc@163.com.

Funding

135 Project for Disciplines of Excellence, West China Hospital, Sichuan University ZYJC21008Sichuan Natural Science Foundation project 2023NSFSC1647the National Natural Science Foundation of China 82371280the Postdoctoral Researcher Fund of West China Hospital 2023HXBH131
6 · The paper itself

Abstract

Major adverse cardiovascular events (MACEs) in geriatric patients are an important cause of increased mortality and morbidity. The results of current studies regarding the predictive value of the NT-proBNP, H-FABP, and AUB-HAS2 scales for cardiovascular complications are inconsistent, and there is no relevant large sample study. Therefore, this study aimed to investigate whether preoperative NT-proBNP, H-FABP, and AUB-HAS2 alone or in combination can effectively predict postoperative cardiovascular complications in geriatric patients. A total of 1736 geriatric patients (aged ≥ 65 years) who were scheduled for elective non-cardiac surgery under general anesthesia were enrolled. AUB-HAS2 risk assessment is required for each patient, and blood was collected 1 h before surgery for the measurement of NT-proBNP and H-FABP. The primary outcomes were MACEs within 30 days after surgery. The secondary outcomes were other complications. Its predictive value was analyzed by receiver operating characteristic (ROC) curves. Of the 1736 patients, 71 (4.1%) had MACEs. NT-proBNP was a predictor of MACEs (AUC = 0.763; 95% CI 0.695-0.832; P < 0.001). When H-FABP was combined with AUB-HAS2, AUB-HAS2 increased the predictive value of H-FABP (AUC = 0.736; 95% CI 0.673-0.799; P < 0.001). Multiple logistic regression analysis revealed increased predictive value of the modified AUB-HAS2 scale for MACEs (AUC = 0.794, 95% CI = 0.737-0.851, P < 0.001). Our study revealed the predictive efficacy and prognostic value of NT-proBNP, H-FABP and the AUB-HAS2 score alone or in combination for postoperative MACE risk assessment in geriatric patients undergoing non-cardiac surgery.This trial was registered at the Chinese Clinical Trial Registry (2019/09/27 ChiCTR1900026223, https://www.chictr.org.cn ).

Indexed as

BiomarkersCardiovascular DiseasesNatriuretic Peptide, BrainPeptide FragmentsPostoperative ComplicationsSurgical Procedures, OperativeAgedAged, 80 and overFatty Acid Binding Protein 3FemaleHumansMalePrognosisProspective StudiesRisk AssessmentRisk FactorsBiomarkersFatty Acid Binding Protein 3Natriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)AUB-HAS2 cardiovascular risk indexGeriatric patientsHeart type fatty acid binding proteinMajor adverse cardiovascular eventsNon-cardiac surgeryN-terminal pro-B-type natriuretic peptide

Identifiers

PMID40246864
PMCPMC12006458

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.