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dc.contributor.author편욱범-
dc.date.accessioned2017-08-29T03:34:32Z-
dc.date.available2017-08-29T03:34:32Z-
dc.date.issued2013-
dc.identifier.issn0003-3022-
dc.identifier.urihttp://dspace.ewha.ac.kr/handle/2015.oak/229954-
dc.description.abstractBACKGROUND: It is unclear whether postoperative B-type natriuretic peptides (i.e., BNP and N-terminal proBNP) can predict cardiovascular complications in noncardiac surgery. METHODS: The authors undertook a systematic review and individual patient data meta-analysis to determine whether postoperative BNPs predict postoperative cardiovascular complications at 30 and 180 days or more. RESULTS: The authors identified 18 eligible studies (n = 2,051). For the primary outcome of 30-day mortality or nonfatal myocardial infarction, BNP of 245 pg/ml had an area under the curve of 0.71 (95% CI, 0.64-0.78), and N-terminal proBNP of 718 pg/ml had an area under the curve of 0.80 (95% CI, 0.77-0.84). These thresholds independently predicted 30-day mortality or nonfatal myocardial infarction (adjusted odds ratio [AOR] 4.5; 95% CI, 2.74-7.4; P < 0.001), mortality (AOR, 4.2; 95% CI, 2.29-7.69; P < 0.001), cardiac mortality (AOR, 9.4; 95% CI, 0.32-254.34; P < 0.001), and cardiac failure (AOR, 18.5; 95% CI, 4.55-75.29; P < 0.001). For greater than or equal to 180-day outcomes, natriuretic peptides independently predicted mortality or nonfatal myocardial infarction (AOR, 3.3; 95% CI, 2.58-4.3; P < 0.001), mortality (AOR, 2.2; 95% CI, 1.67-86; P < 0.001), cardiac mortality (AOR, 2.1; 95% CI, 0.05-1,385.17; P < 0.001), and cardiac failure (AOR, 3.5; 95% CI, 1.0-9.34; P = 0.022). Patients with BNP values of 0-250, greater than 250-400, and greater than 400 pg/ml suffered the primary outcome at a rate of 6.6, 15.7, and 29.5%, respectively. Patients with N-terminal proBNP values of 0-300, greater than 300-900, and greater than 900 pg/ml suffered the primary outcome at a rate of 1.8, 8.7, and 27%, respectively. CONCLUSIONS: Increased postoperative BNPs are independently associated with adverse cardiac events after noncardiac surgery. Copyright © 2013, the American Society of Anesthesiologists, Inc. Lippincott Williams &Wilkins.-
dc.languageEnglish-
dc.titlePostoperative B-type natriuretic peptide for prediction of major cardiac events in patients undergoing noncardiac surgery: Systematic review and individual patient meta-analysis-
dc.typeReview-
dc.relation.issue2-
dc.relation.volume119-
dc.relation.indexSCI-
dc.relation.indexSCIE-
dc.relation.indexSCOPUS-
dc.relation.startpage271-
dc.relation.lastpage283-
dc.relation.journaltitleAnesthesiology-
dc.identifier.doi10.1097/ALN.0b013e31829083f1-
dc.identifier.scopusid2-s2.0-84880924940-
dc.author.googleRodseth R.N.-
dc.author.googleBiccard B.M.-
dc.author.googleChu R.-
dc.author.googleLurati Buse G.A.-
dc.author.googleThabane L.-
dc.author.googleBakhai A.-
dc.author.googleBolliger D.-
dc.author.googleCagini L.-
dc.author.googleCahill T.J.-
dc.author.googleCardinale D.-
dc.author.googleChong C.P.W.-
dc.author.googleCnotliwy M.-
dc.author.googleDi Somma S.-
dc.author.googleFahrner R.-
dc.author.googleLim W.K.-
dc.author.googleMahla E.-
dc.author.googleLe Manach Y.-
dc.author.googleManikandan R.-
dc.author.googlePyun W.B.-
dc.author.googleRajagopalan S.-
dc.author.googleRadovic&apos-
dc.author.googleM.-
dc.author.googleSchutt R.C.-
dc.author.googleSessler D.I.-
dc.author.googleSuttie S.-
dc.author.googleVanniyasingam T.-
dc.author.googleWaliszek M.-
dc.author.googleDevereaux P.J.-
dc.contributor.scopusid편욱범(6508352922)-
dc.date.modifydate20180329112529-
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