Prognostic value of plasma N-terminal probrain natriuretic peptide levels in the acute respiratory distress syndrome*
- 1 August 2008
- journal article
- clinical trial
- Published by Ovid Technologies (Wolters Kluwer Health) in Critical Care Medicine
- Vol. 36 (8), 2322-2327
- https://doi.org/10.1097/ccm.0b013e318181040d
Abstract
Patients with acute respiratory distress syndrome suffer from profound cardiac and pulmonary derangement, including right ventricular strain and noncardiogenic pulmonary edema, which may potentially alter concentrations of cardiac natriuretic peptides. We sought to determine whether N-terminal probrain natriuretic peptide (NT-proBNP) levels are elevated in acute respiratory distress syndrome and whether they can serve as a marker of prognosis in this setting. Prospective study. Tertiary-care academic medical center. One hundred seventy-seven acute respiratory distress syndrome subjects enrolled in a prospective intensive care unit cohort. None. NT-proBNP was measured from blood taken within 48 hrs of acute respiratory distress syndrome onset. Patients were followed for the primary outcome of 60-day mortality and secondary outcomes of organ dysfunction and ventilator-free days. Seventy patients died (40%). Median NT-proBNP level was 3181 ng/L (interquartile range 723-9246 ng/L). NT-proBNP levels were significantly higher among nonsurvivors (p p NT-proBNP levels are elevated among acute respiratory distress syndrome patients and parallel the severity of the syndrome and likelihood for morbidity and mortality. This demonstrates the potential utility of this biomarker for prognosis in this disease.Keywords
This publication has 24 references indexed in Scilit:
- Predictive value of N-terminal pro–brain natriuretic peptide in severe sepsis and septic shock*Critical Care Medicine, 2007
- Pre-B-cell colony-enhancing factor gene polymorphisms and risk of acute respiratory distress syndrome*Critical Care Medicine, 2007
- Diagnostic and Prognostic Utility of Brain Natriuretic Peptide in Subjects Admitted to the ICU With Hypoxic Respiratory Failure Due to Noncardiogenic and Cardiogenic Pulmonary EdemaChest, 2007
- Higher Urine Nitric Oxide Is Associated with Improved Outcomes in Patients with Acute Lung InjuryAmerican Journal of Respiratory and Critical Care Medicine, 2007
- Risk Stratification of Acute Pulmonary EmbolismSeminars in Thrombosis and Hemostasis, 2006
- B-type natriuretic peptide in the assessment of acute lung injury and cardiogenic pulmonary edema*Critical Care Medicine, 2006
- Comparison of Two Fluid-Management Strategies in Acute Lung InjuryNew England Journal of Medicine, 2006
- Relationship Between B-Type Natriuretic Peptides and Pulmonary Capillary Wedge Pressure in the Intensive Care UnitJournal of the American College of Cardiology, 2005
- Prognostic value of surfactant proteins A and D in patients with acute lung injury*Critical Care Medicine, 2003
- The Acute Respiratory Distress SyndromeNew England Journal of Medicine, 2000