Impact of preoperative brain natriuretic peptide level for predicting postoperative respiratory complications
- 1Division of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
- 2Department of Cardiovascular Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
- 0Division of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
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View abstract on PubMed
Summary
This summary is machine-generated.Elevated preoperative brain natriuretic peptide (BNP) levels predict a higher risk of postoperative respiratory complications (PRCs) after pulmonary surgery. This finding aids in identifying at-risk patients before thoracic procedures.
Area Of Science
- Cardiology
- Thoracic Surgery
- Pulmonary Medicine
Background
- Predicting postoperative respiratory complications (PRCs) is crucial for thoracic surgeons.
- Preoperative brain natriuretic peptide (BNP) levels may serve as a predictive biomarker for PRCs.
Purpose Of The Study
- To investigate the association between preoperative brain natriuretic peptide (BNP) levels and the incidence of postoperative respiratory complications (PRCs).
Main Methods
- Retrospective analysis of 383 patients with lung cancer undergoing surgical resection.
- Assessment of preoperative BNP levels, with a cutoff of 35 pg/mL.
- Logistic regression analysis to identify risk factors for PRCs.
Main Results
- 17% of patients experienced PRCs.
- PRCs were significantly higher in patients with BNP levels ≥35 pg/mL (24%) compared to those with <35 pg/mL (14%) (P=0.02).
- Preoperative BNP levels ≥35 pg/mL were independently associated with an increased risk of PRCs (OR: 1.838, P=0.04).
Conclusions
- Preoperative BNP levels ≥35 pg/mL are associated with an increased risk of PRCs.
- BNP may be a valuable tool for risk stratification in patients undergoing pulmonary surgery.
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