Cardiothoracic & vascular anesthesia

Use of Preoperative Natriuretic Peptide in Predicting Mortality After Coronary Artery Bypass Grafting: A Systematic Review and Meta-analysis

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis of observational studies

Pooled result · Mortality after CABGResult — go to the resultOdds ratio 3.96 95% CI 2.41–6.52

Authors' conclusion

Preoperative BNP level is a powerful predictor of mortality in patients undergoing CABG.

Study context

Population
Patients undergoing coronary artery bypass grafting (CABG)11 studies
Comparison
Elevated vs normal preoperative natriuretic peptide levels
Outcome
Short- and long-term mortality after CABG
Methodological detailsrandom effect model, 53 articles retrieved; 11 in qualitative synthesis, 4 in meta-analysis
  • Random effect model
  • 53 articles retrieved; 11 in qualitative synthesis, 4 in meta-analysis

Pooled result

Mortality after CABG

Odds ratio

3.96

95% CI 2.41–6.52

P < 0.00001

Elevated BNP/NT-proBNP vs Normal
OR 3.96 (95% CI 2.41–6.52); P < 0.00001

As reported in the abstract

Further pooled results

Cut-off values across studies

pg/mL

Median BNP cut-off (25th-75th percentile 95-324.25 pg/mL)
145.5
Mean NT-proBNP value (± 372 pg/mL)
765

Original publication

Use of Preoperative Natriuretic Peptide in Predicting Mortality After Coronary Artery Bypass Grafting: A Systematic Review and Meta-analysis. J Cardiothorac Vasc Anesth. Published 20 April 2023. doi:10.1053/j.jvca.2023.04.020

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