The prognostic value of N-terminal pro-B-type natriuretic peptide in patients with severe sepsis and septic shock

OBJECTIVE: To evaluate the prognostic value of N-terminal pro-B-type natriuretic peptide (NT-proBNP) in patients with severe sepsis and septic shock

Bibliographische Detailangaben
Veröffentlicht in:Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue. - 1998. - 23(2011), 8 vom: 30. Aug., Seite 467-70
1. Verfasser: Zhao, Hui-ying (VerfasserIn)
Weitere Verfasser: Liu, Fang, Lu, Jie, Liu, Dan, An, You-zhong
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2011
Zugriff auf das übergeordnete Werk:Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
Schlagworte:English Abstract Journal Article Research Support, Non-U.S. Gov't Peptide Fragments pro-brain natriuretic peptide (1-76) Natriuretic Peptide, Brain 114471-18-0
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100 1 |a Zhao, Hui-ying  |e verfasserin  |4 aut 
245 1 4 |a The prognostic value of N-terminal pro-B-type natriuretic peptide in patients with severe sepsis and septic shock 
264 1 |c 2011 
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500 |a published: Print 
500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To evaluate the prognostic value of N-terminal pro-B-type natriuretic peptide (NT-proBNP) in patients with severe sepsis and septic shock 
520 |a METHODS: In a prospective study, clinical data of 50 patients with severe sepsis and septic shock were analyzed. Plasma NT-proBNP level was measured at 0, 24, 48 and 72 hours after admission to the intensive care unit (ICU) of a university hospital. Patients were divided into survival group and non-survival group according to 30-day mortality rate. The dynamic variation of plasma NT-proBNP level was observed and the difference of plasma NT-proBNP levels between two groups was compared. The predictive value of NT-proBNP on mortality was evaluated by receiver operating characteristic (ROC) curves. The potential confounding factors on NT-proBNP were assessed with linear regression analysis 
520 |a RESULTS: NT-proBNP levels (μg/L)at 0 hour after admission to ICU [20.86(14.28,23.92)] were significantly higher in non-survival group (n=20) compared with survival group [ n=30, 10.02 (5.58, 16.41), P<0.01], and the difference persisted to 72 hours [19.68 (13.90, 24.02) vs. 9.24 (4.30, 11.81), P<0.01], but there was no statistical difference of NT-proBNP levels among four time points. In the ROC curves for NT-proBNP at admission, the area under the curve(AUC) for hospital mortality was 0.842, and 95% confidence interval (CI) was 0.764-0.922, P<0.01. NT-proBNP greater than 13.30 μg/L at admission was an independent indicator of mortality (sensitivity 80.6%, specificity 70.2%). Linear regression analysis revealed that the oxygenation index (PaO(2)/FiO(2), r=-0.839, P=0.003), platelet count (PLT, r=-0.803, P=0.032), and sequential organ failure assessment (SOFA) scores at 0 hour after admission to ICU (r=0.874, P<0.001) had independent effects on NT-proBNP values at admission 
520 |a CONCLUSION: Plasma NT-proBNP level is a valuable prognostic factor for severe sepsis and septic shock patients 
650 4 |a English Abstract 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
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700 1 |a Liu, Fang  |e verfasserin  |4 aut 
700 1 |a Lu, Jie  |e verfasserin  |4 aut 
700 1 |a Liu, Dan  |e verfasserin  |4 aut 
700 1 |a An, You-zhong  |e verfasserin  |4 aut 
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