Perioperative medicine & outcomes

Refining cardiovascular risk prediction after renal transplantation: a cross-sectional study focusing on NT-proBNP and the revised cardiac risk index

Perioper Med (Lond)Published Prospective cohort study

Main finding · Cardiovascular endpointsResult — go to the resultOdds ratio 9.6 CI 1.6–57.4

Authors' conclusion

NT-proBNP alone could not predict 30-day CVE after KT.

Study context

Population
End-stage renal disease (ESRD) patients scheduled for kidney transplantation
Participants
122 patients
Exposure
Pre-transplant NT-proBNP and revised cardiac risk index (RCRI) for predicting cardiovascular events (CVE) after kidney transplantation
Outcome
In-hospital and 1-month post-transplant CVEs
Methodological detailssingle-centre
  • Single-centre

Main finding

Cardiovascular endpoints

Odds ratio

9.6

CI 1.6–57.4

RCRI = 3 vs RCRI 1 and 2
OR 9.6 (CI 1.6–57.4)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Baseline characteristics

Median age (years)
47.7
Pre-existing hypertension
80.3%
Diabetes
26.2%
Smoking history
9.0%
Cardiovascular disease
23%
RCRI score of 1
64.8%

NT-proBNP above 1200 pg/mL

Over half of patients had NT-proBNP above 1200 pg/mL
Higher NT-proBNP associated with lower left ventricular ejection fraction (LVEF) and higher systolic pulmonary artery pressure (PAP)
RCRI not significantly different between NT-proBNP above vs below 1200 pg/mL

Original publication

Refining cardiovascular risk prediction after renal transplantation: a cross-sectional study focusing on NT-proBNP and the revised cardiac risk index. Perioper Med (Lond). Published 21 October 2025. doi:10.1186/s13741-025-00599-5

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