The assessment of B-type natriuretic peptide be used as a prognositic factor for community-acquired pneumonia / 中国医师杂志
Journal of Chinese Physician
;
(12): 75-79, 2020.
Article
in Chinese
| WPRIM
| ID: wpr-867209
ABSTRACT
Objective To explore the value of B-type natriuretic peptide (BNP) be used as a prognostic factor for community-acquired pneumonia.Methods This was a multicenter,retrospective study.Data of patients hospitalized with community-acquired pneumonia during 2014/1/1 to 2015/12/31 from four tertiary hospitals were reviewed,including demographic and clinical features,and outcomes.Univariate analysis and logistic regression analysis were performed to determine risk factors for 30-day mortality.Receiver operating characteristic curves (ROCs) was performed to verify the accuracy of BNP > 1 000 pg/ml,CURB-65 score and BNP > 1 000 pg/ml + CURB-65 score (B-CURB65) as 30-day mortality predictors in the study patients.Results 1 786 patients hospitalized with community-acquired pneumonia (CAP) were entered into the final analysis.The 30-day mortality was 4.7%.Logistic regression analysis confirmed blood BNP > 1 000 pg/ml was an independent risk factor associated with 30-day mortality of CAP patients.The area under the curve (AUC) of B-CURB65 was 0.774,which was higher than CURB-65 score (AUC =0.625,P =0.002).Conclusions Blood BNP is a valuable biomarker related to the 30-day mortality of CAP patients,which can increase the predicting accuracy of CURB-65 score.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Controlled clinical trial
/
Observational study
/
Prognostic study
/
Risk factors
Language:
Chinese
Journal:
Journal of Chinese Physician
Year:
2020
Type:
Article
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