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10.1136/bmjopen-2015-010440 http://scihub22266oqcxt.onion/10.1136/bmjopen-2015-010440 C4769382!4769382 !26908529     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26908529 &cmd=llinks): Failed to open stream: HTTP request failed! 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Validation of a B-type natriuretic peptide as a prognostic marker in pneumonia patients: a prospective cohort study |pdf=|usr=}}{{26908529 }} gab.com Text Validation of a B-type natriuretic peptide as a prognostic marker in pneumonia patients: a prospective cohort study JO: BMJ Open http://www.kidney.de/pget.php?&tw=1&pmid=26908529 #FOAvip OBJECTIVES: To validate a B-type natriuretic peptide (BNP) as a prognostic marker in pneumonia patients. DESIGN: A prospective cohort study. SETTING: Kanazawa Medical University Himi Municipal (a 250-bed community hospital in Himi-shi, Toyama-ken, Japan). PARTICIPANTS: All patients diagnosed with pneumonia by the physician and admitted to our hospital between 1 January 2012 and 31 March 2015 whose BNP levels had been determined in the first 24 h of admission. A total of 673 patients were enrolled. Of these, BNP levels were measured for a total of 369 patients on admission. INTERVENTION: After enrolment, baseline, demographic, clinical and laboratory characteristics including levels of suspected prognostic markers for pneumonia proposed in previous papers, were collected. All patients were followed up until discharge. During analysis, they were divided into categories as follows: community-acquired pneumonia (CAP), aspiration pneumonia (AP), healthcare-associated pneumonia (HCAP) and pneumonia with acute heart failure (PAHF). A univariate and multivariable Cox-regression analysis were applied to each parameter to identify predictors of death. Three cut-off points, namely 40, 100 and 200 pg/mL, as well as the mean, were applied when comparing BNP levels. MAIN OUTCOME MEASURES: 30-day mortality. RESULTS: Of the 369 patients finally included, 137 were diagnosed with CAP, 122 with AP, 74 with HCAP, and 36 with PAHF. In the univariate analysis, BNP levels (mean, cut-off points 100 pg/mL and 200 pg/mL, p<0.01, respectively) were associated with death in CAP, and similar situation was found for BNP (cut-off points 200 pg/mL, p<0.05) in AP, but not for HCAP, or PAHF. In multivariable Cox-regression analysis, BNP remained an independent mortality predictor (HR 10.01, 95% CI 1.32 to 75.7, p=0.03) in CAP. CONCLUSIONS: BNP levels may be a useful single prognostic marker for CAP. Further research for validation is warranted. Twit Text FOAVip Validation of a B-type natriuretic peptide as a prognostic marker in pneumonia patients: a prospective cohort study ????BMJ Open http://www.kidney.de/pget.php?&tw=1&pmid=26908529 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26908529 #FOAvip English Wikipedia <ref>{{Cite pmid|26908529 }}</ref> Validation of a B-type natriuretic peptide as a prognostic marker in pneumonia patients: a prospective cohort study #MMPMID26908529 Usuda D ; Sangen R ; Hashimoto Y ; Muranaka E ; Iinuma Y ; Kanda T BMJ Open 2016[Feb]; 6 (2 ): e010440 PMID26908529 show ga OBJECTIVES: To validate a B-type natriuretic peptide (BNP) as a prognostic marker in pneumonia patients. DESIGN: A prospective cohort study. SETTING: Kanazawa Medical University Himi Municipal (a 250-bed community hospital in Himi-shi, Toyama-ken, Japan). PARTICIPANTS: All patients diagnosed with pneumonia by the physician and admitted to our hospital between 1 January 2012 and 31 March 2015 whose BNP levels had been determined in the first 24 h of admission. A total of 673 patients were enrolled. Of these, BNP levels were measured for a total of 369 patients on admission. INTERVENTION: After enrolment, baseline, demographic, clinical and laboratory characteristics including levels of suspected prognostic markers for pneumonia proposed in previous papers, were collected. All patients were followed up until discharge. During analysis, they were divided into categories as follows: community-acquired pneumonia (CAP), aspiration pneumonia (AP), healthcare-associated pneumonia (HCAP) and pneumonia with acute heart failure (PAHF). A univariate and multivariable Cox-regression analysis were applied to each parameter to identify predictors of death. Three cut-off points, namely 40, 100 and 200 pg/mL, as well as the mean, were applied when comparing BNP levels. MAIN OUTCOME MEASURES: 30-day mortality. RESULTS: Of the 369 patients finally included, 137 were diagnosed with CAP, 122 with AP, 74 with HCAP, and 36 with PAHF. In the univariate analysis, BNP levels (mean, cut-off points 100 pg/mL and 200 pg/mL, p<0.01, respectively) were associated with death in CAP, and similar situation was found for BNP (cut-off points 200 pg/mL, p<0.05) in AP, but not for HCAP, or PAHF. In multivariable Cox-regression analysis, BNP remained an independent mortality predictor (HR 10.01, 95% CI 1.32 to 75.7, p=0.03) in CAP. CONCLUSIONS: BNP levels may be a useful single prognostic marker for CAP. Further research for validation is warranted. |Aged, 80 and over [MESH] |Biomarkers/blood [MESH] |Cohort Studies [MESH] |Female [MESH] |Humans [MESH] |Japan [MESH] |Male [MESH] |Natriuretic Peptide, Brain/*blood [MESH] |Pneumonia/*blood [MESH] |Prognosis [MESH] |Proportional Hazards Models [MESH] |Prospective Studies [MESH] |Reproducibility of Results [MESH]Validation of a B-type natriuretic peptide as a prognostic marker in p(epmc).pdf DeepDyve Pubget Overpricing