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Predictors of mortality in cardiac surgery: brain natriuretic peptide type B.
Murad Junior, Jamil Alli; Nakazone, Marcelo Arruda; Machado, Mauricio de Nassau; Godoy, Moacir Fernandes de.
Afiliação
  • Murad Junior JA; Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.
  • Nakazone MA; Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.
  • Machado Mde N; Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.
  • Godoy MF; Division of Cardiology and Post Graduation in Health Sciences, Faculdade de Medicina de São José do Rio Preto, SP, Brazil.
Rev Bras Cir Cardiovasc ; 30(2): 182-7, 2015.
Article em En | MEDLINE | ID: mdl-26107449
OBJECTIVE: We evaluated whether the preoperative serum concentration of brain natriuretic peptide (BNP) is a predictor of in-hospital mortality in patients that underwent cardiac surgery. METHODS: We continuously evaluated 488 patients that underwent cardiac valve surgery or coronary artery bypass grafting (CABG) between January of 2009 and July of 2012. Follow up of these patients were done prospectively for 30 days postoperatively. RESULTS: Data analysis showed that the overall mortality rate was equal to 9.6%, Receiver Operating Charactheristic (ROC) curve analysis found the optimal cut-off value of BNP equal to 382 pg/mL for overall mortality (AUC=0.73, 95% CI=0.66 to 0.81, P<0.001). Multivariate analysis showed that the value of BNP higher than 382 pg/mL (P=0.033, HR=2.05, 95% CI=1.6 to 3.98) was an independent predictor of overall mortality at 30 days postoperatively. CONCLUSION: We concluded that the preoperative serum concentration of BNP is an independent predictor of mortality in patients undergoing valve surgery or coronary artery bypass graft.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ponte de Artéria Coronária / Mortalidade Hospitalar / Peptídeo Natriurético Encefálico / Doenças das Valvas Cardíacas Tipo de estudo: Etiology_studies / Evaluation_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Rev Bras Cir Cardiovasc Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ponte de Artéria Coronária / Mortalidade Hospitalar / Peptídeo Natriurético Encefálico / Doenças das Valvas Cardíacas Tipo de estudo: Etiology_studies / Evaluation_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Rev Bras Cir Cardiovasc Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil