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March 24, 2011AnesthesiologyOpen Access

Increased Peak Postoperative B-type Natriuretic Peptide Predicts Decreased Longer-term Physical Function after Primary Coronary Artery Bypass Graft Surgery

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Key result

Higher peak postoperative BNP independently predicted worse physical function up to 2 years after primary CABG surgery (effect estimate -3.06 points; 95% CI -5.15 to -0.97; P=0.004).

Why the study?

Does increased peak postoperative BNP predict decreased longer-term physical function in patients undergoing primary CABG surgery?

Population

845 patients undergoing primary coronary artery bypass graft surgery with cardiopulmonary bypass, mean age…

Design

Cohort

Follow-up

up to 2 years

Authors

AFAmanda A. FoxEMEdward R. MarcantonioCCCharles D. Collard

Discussion

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Member takes

Overview

May warrant closer functional surveillance after CABG in high-BNP patients; extends biomarker-outcome links but remains hypothesis-generating pending trials.

Study Design

Type

Cohort (n=845)

Multicenter

Yes

Structured PICO

Does increased peak postoperative BNP predict decreased longer-term physical function in patients undergoing primary CABG surgery?

P
Population
845 patients (mean age 65 years) undergoing primary CABG surgery with cardiopulmonary bypass, followed for up to 2 years.
E
Exposure
Peak postoperative B-type natriuretic peptide (BNP) levels (measured on postoperative days 1-5)
O
Outcome
Postoperative physical function (PF) assessed by Short Form-36 questionnaire at 6 months, 1 year, and 2 yearspatient reported

Main Result

Mean Difference: -3.06 (95% CI -5.15–-0.97)

p-value: p=0.004

Increased peak postoperative BNP independently predicts worse long-term physical function up to 2 years after primary CABG surgery.

Cite This Study

Fox et al. (2011) conducted a cohort in Primary coronary artery bypass graft (CABG) surgery (n=845). Peak postoperative B-type natriuretic peptide (BNP) was evaluated on Postoperative physical function (PF) scores 6 months through 2 years after CABG surgery (effect estimate -3.06, 95% CI -5.15 to -0.97, p=0.004). Higher peak postoperative BNP independently predicted worse physical function up to 2 years after primary CABG surgery (effect estimate -3.06 points; 95% CI -5.15 to -0.97; P=0.004).

synapsesocial.com/papers/6a9466a85e508145153edaefhttps://doi.org/10.1097/aln.0b013e31820ef9c1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A-Type and B-Type Natriuretic Peptides in Cardiac Surgical Procedures2004 · 96 citations
  2. 2Plasma brain natriuretic peptide and cardiac troponin I concentrations after adult cardiac surgery: Association with postoperative cardiac dysfunction and 1-year mortality*2006 · 104 citations
  3. 3Assessment of changes in general health status using the short-form 36 questionnaire 1 year following coronary artery bypass grafting2000 · 92 citations
  4. 4BNP-Guided vs Symptom-Guided Heart Failure Therapy2009 · 650 citations
  5. 5ACC/AHA 2004 Guideline Update for Coronary Artery Bypass Graft Surgery: Summary Article2004 · 898 citations