B-Type Natriuretic Peptide as a Predictor of Postoperative Cardiopulmonary Complications in Elderly Patients Undergoing Pulmonary Resection for Lung Cancer
Background The objective of the present study was to evaluate the utility of B-type natriuretic peptide for prediction of postoperative cardiopulmonary complications in elderly patients undergoing pulmonary resection for lung cancer. Methods A prospective observational study was performed involving...
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creator | Nojiri, Takashi, MD Inoue, Masayoshi, MD, PhD Yamamoto, Kazuhiro, MD, PhD Maeda, Hajime, MD, PhD Takeuchi, Yukiyasu, MD, PhD Funakoshi, Yasunobu, MD, PhD Okumura, Meinoshin, MD, PhD |
description | Background The objective of the present study was to evaluate the utility of B-type natriuretic peptide for prediction of postoperative cardiopulmonary complications in elderly patients undergoing pulmonary resection for lung cancer. Methods A prospective observational study was performed involving 80 consecutive patients aged 75 years or older who underwent a scheduled pulmonary resection for lung cancer in two specialized thoracic centers between January 2008 and June 2010. Baseline clinical details were obtained, and spirometry and examination of serum B-type natriuretic peptide levels were performed before surgery. The primary endpoint was the incidence of postoperative cardiopulmonary complications. Results Postoperative cardiopulmonary complications were identified in 34 (43%) patients; these patients had significantly higher preoperative B-type natriuretic peptide levels than those without cardiopulmonary complications (84.0 ± 93.7 pg/mL vs 22.0 ± 18.2 pg/mL; p < 0.0001). The area under the receiver operating characteristic curve for B-type natriuretic peptide to predict postoperative cardiopulmonary complications after pulmonary resection for lung cancer was 0.85 (95% confidence interval 0.76 to 0.94; p < 0.0001). A B-type natriuretic peptide value of 30 pg/mL had a sensitivity of 79% and a specificity of 83% for predicting postoperative cardiopulmonary complications after pulmonary resection for lung cancer. The incidences of both cardiovascular and respiratory complications were significantly higher in patients with preoperative B-type natriuretic peptide levels of 30 pg/mL or more. Conclusions Preoperative B-type natriuretic peptide level could be a useful predictor of postoperative cardiopulmonary complications in elderly patients after pulmonary resection for lung cancer. |
doi_str_mv | 10.1016/j.athoracsur.2011.03.085 |
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Methods A prospective observational study was performed involving 80 consecutive patients aged 75 years or older who underwent a scheduled pulmonary resection for lung cancer in two specialized thoracic centers between January 2008 and June 2010. Baseline clinical details were obtained, and spirometry and examination of serum B-type natriuretic peptide levels were performed before surgery. The primary endpoint was the incidence of postoperative cardiopulmonary complications. Results Postoperative cardiopulmonary complications were identified in 34 (43%) patients; these patients had significantly higher preoperative B-type natriuretic peptide levels than those without cardiopulmonary complications (84.0 ± 93.7 pg/mL vs 22.0 ± 18.2 pg/mL; p < 0.0001). The area under the receiver operating characteristic curve for B-type natriuretic peptide to predict postoperative cardiopulmonary complications after pulmonary resection for lung cancer was 0.85 (95% confidence interval 0.76 to 0.94; p < 0.0001). A B-type natriuretic peptide value of 30 pg/mL had a sensitivity of 79% and a specificity of 83% for predicting postoperative cardiopulmonary complications after pulmonary resection for lung cancer. The incidences of both cardiovascular and respiratory complications were significantly higher in patients with preoperative B-type natriuretic peptide levels of 30 pg/mL or more. Conclusions Preoperative B-type natriuretic peptide level could be a useful predictor of postoperative cardiopulmonary complications in elderly patients after pulmonary resection for lung cancer.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2011.03.085</identifier><identifier>PMID: 21871299</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Age Factors ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiothoracic Surgery ; Female ; Follow-Up Studies ; Heart Diseases - blood ; Heart Diseases - epidemiology ; Heart Diseases - etiology ; Humans ; Immunoenzyme Techniques ; Incidence ; Japan - epidemiology ; Lung Neoplasms - surgery ; Male ; Medical sciences ; Natriuretic Peptide, Brain - blood ; Pneumology ; Pneumonectomy - adverse effects ; Pneumonia - blood ; Pneumonia - epidemiology ; Pneumonia - etiology ; Prognosis ; Prospective Studies ; Respiratory Distress Syndrome, Adult - blood ; Respiratory Distress Syndrome, Adult - epidemiology ; Respiratory Distress Syndrome, Adult - etiology ; Risk Factors ; ROC Curve ; Surgery ; Survival Rate - trends ; Thoracic Surgery, Video-Assisted - adverse effects ; Tumors of the respiratory system and mediastinum</subject><ispartof>The Annals of thoracic surgery, 2011-09, Vol.92 (3), p.1051-1055</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2011 The Society of Thoracic Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c524t-78c431240b1711e9ff69b3a3d41196e35a75bfbf28e9dc3c2ed9f953753bc79f3</citedby><cites>FETCH-LOGICAL-c524t-78c431240b1711e9ff69b3a3d41196e35a75bfbf28e9dc3c2ed9f953753bc79f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24523364$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21871299$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nojiri, Takashi, MD</creatorcontrib><creatorcontrib>Inoue, Masayoshi, MD, PhD</creatorcontrib><creatorcontrib>Yamamoto, Kazuhiro, MD, PhD</creatorcontrib><creatorcontrib>Maeda, Hajime, MD, PhD</creatorcontrib><creatorcontrib>Takeuchi, Yukiyasu, MD, PhD</creatorcontrib><creatorcontrib>Funakoshi, Yasunobu, MD, PhD</creatorcontrib><creatorcontrib>Okumura, Meinoshin, MD, PhD</creatorcontrib><title>B-Type Natriuretic Peptide as a Predictor of Postoperative Cardiopulmonary Complications in Elderly Patients Undergoing Pulmonary Resection for Lung Cancer</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background The objective of the present study was to evaluate the utility of B-type natriuretic peptide for prediction of postoperative cardiopulmonary complications in elderly patients undergoing pulmonary resection for lung cancer. Methods A prospective observational study was performed involving 80 consecutive patients aged 75 years or older who underwent a scheduled pulmonary resection for lung cancer in two specialized thoracic centers between January 2008 and June 2010. Baseline clinical details were obtained, and spirometry and examination of serum B-type natriuretic peptide levels were performed before surgery. The primary endpoint was the incidence of postoperative cardiopulmonary complications. Results Postoperative cardiopulmonary complications were identified in 34 (43%) patients; these patients had significantly higher preoperative B-type natriuretic peptide levels than those without cardiopulmonary complications (84.0 ± 93.7 pg/mL vs 22.0 ± 18.2 pg/mL; p < 0.0001). The area under the receiver operating characteristic curve for B-type natriuretic peptide to predict postoperative cardiopulmonary complications after pulmonary resection for lung cancer was 0.85 (95% confidence interval 0.76 to 0.94; p < 0.0001). A B-type natriuretic peptide value of 30 pg/mL had a sensitivity of 79% and a specificity of 83% for predicting postoperative cardiopulmonary complications after pulmonary resection for lung cancer. The incidences of both cardiovascular and respiratory complications were significantly higher in patients with preoperative B-type natriuretic peptide levels of 30 pg/mL or more. Conclusions Preoperative B-type natriuretic peptide level could be a useful predictor of postoperative cardiopulmonary complications in elderly patients after pulmonary resection for lung cancer.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiothoracic Surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Diseases - blood</subject><subject>Heart Diseases - epidemiology</subject><subject>Heart Diseases - etiology</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Natriuretic Peptide, Brain - blood</subject><subject>Pneumology</subject><subject>Pneumonectomy - adverse effects</subject><subject>Pneumonia - blood</subject><subject>Pneumonia - epidemiology</subject><subject>Pneumonia - etiology</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Respiratory Distress Syndrome, Adult - blood</subject><subject>Respiratory Distress Syndrome, Adult - epidemiology</subject><subject>Respiratory Distress Syndrome, Adult - etiology</subject><subject>Risk Factors</subject><subject>ROC Curve</subject><subject>Surgery</subject><subject>Survival Rate - trends</subject><subject>Thoracic Surgery, Video-Assisted - adverse effects</subject><subject>Tumors of the respiratory system and mediastinum</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUk1v1DAUjBCILoW_gHxBnJL6I07iCxKNWqi0ggjas-U4z8VLNg62U2l_C38WR7u0EidOlt_MvGfPvCxDBBcEk-piV6j4w3mlw-ILigkpMCtww59lG8I5zSvKxfNsgzFmeSlqfpa9CmGXrjTBL7MzSpqaUCE22e_L_PYwA_qioreLh2g16mCOdgCkAlKo8zBYHZ1HzqDOhehm8CraB0Ct8oN18zLu3aT8AbVuP49WJ9BNAdkJXY0D-PGAulSCKQZ0N6XCvbPTPeoeZd8ggF41yKQp2yWBrZo0-NfZC6PGAG9O53l2d311237Ot18_3bQft7nmtIx53eiSEVrintSEgDCmEj1TbCgJERUwrmrem97QBsSgmaYwCCM4qznrdS0MO8_eH_vO3v1aIES5t0HDOKoJ3BJk03CBG9GQxGyOTO1dCB6MnL3dp09IguWajNzJp2TkmozETKZkkvTtacjS72F4FP6NIhHenQgqaDUanzyw4YlXcspYVSbe5ZEHyZIHC14GndzVKSaffJSDs__zmg__NNGjnVJ24084QNi5xU_JcklkoBLL7-smrYtECMZ1yTD7A7Edyg4</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Nojiri, Takashi, MD</creator><creator>Inoue, Masayoshi, MD, PhD</creator><creator>Yamamoto, Kazuhiro, MD, PhD</creator><creator>Maeda, Hajime, MD, PhD</creator><creator>Takeuchi, Yukiyasu, MD, PhD</creator><creator>Funakoshi, Yasunobu, MD, PhD</creator><creator>Okumura, Meinoshin, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>B-Type Natriuretic Peptide as a Predictor of Postoperative Cardiopulmonary Complications in Elderly Patients Undergoing Pulmonary Resection for Lung Cancer</title><author>Nojiri, Takashi, MD ; Inoue, Masayoshi, MD, PhD ; Yamamoto, Kazuhiro, MD, PhD ; Maeda, Hajime, MD, PhD ; Takeuchi, Yukiyasu, MD, PhD ; Funakoshi, Yasunobu, MD, PhD ; Okumura, Meinoshin, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-78c431240b1711e9ff69b3a3d41196e35a75bfbf28e9dc3c2ed9f953753bc79f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiothoracic Surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Diseases - blood</topic><topic>Heart Diseases - epidemiology</topic><topic>Heart Diseases - etiology</topic><topic>Humans</topic><topic>Immunoenzyme Techniques</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Natriuretic Peptide, Brain - blood</topic><topic>Pneumology</topic><topic>Pneumonectomy - adverse effects</topic><topic>Pneumonia - blood</topic><topic>Pneumonia - epidemiology</topic><topic>Pneumonia - etiology</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Respiratory Distress Syndrome, Adult - blood</topic><topic>Respiratory Distress Syndrome, Adult - epidemiology</topic><topic>Respiratory Distress Syndrome, Adult - etiology</topic><topic>Risk Factors</topic><topic>ROC Curve</topic><topic>Surgery</topic><topic>Survival Rate - trends</topic><topic>Thoracic Surgery, Video-Assisted - adverse effects</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nojiri, Takashi, MD</creatorcontrib><creatorcontrib>Inoue, Masayoshi, MD, PhD</creatorcontrib><creatorcontrib>Yamamoto, Kazuhiro, MD, PhD</creatorcontrib><creatorcontrib>Maeda, Hajime, MD, PhD</creatorcontrib><creatorcontrib>Takeuchi, Yukiyasu, MD, PhD</creatorcontrib><creatorcontrib>Funakoshi, Yasunobu, MD, PhD</creatorcontrib><creatorcontrib>Okumura, Meinoshin, MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nojiri, Takashi, MD</au><au>Inoue, Masayoshi, MD, PhD</au><au>Yamamoto, Kazuhiro, MD, PhD</au><au>Maeda, Hajime, MD, PhD</au><au>Takeuchi, Yukiyasu, MD, PhD</au><au>Funakoshi, Yasunobu, MD, PhD</au><au>Okumura, Meinoshin, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>B-Type Natriuretic Peptide as a Predictor of Postoperative Cardiopulmonary Complications in Elderly Patients Undergoing Pulmonary Resection for Lung Cancer</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>92</volume><issue>3</issue><spage>1051</spage><epage>1055</epage><pages>1051-1055</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Background The objective of the present study was to evaluate the utility of B-type natriuretic peptide for prediction of postoperative cardiopulmonary complications in elderly patients undergoing pulmonary resection for lung cancer. Methods A prospective observational study was performed involving 80 consecutive patients aged 75 years or older who underwent a scheduled pulmonary resection for lung cancer in two specialized thoracic centers between January 2008 and June 2010. Baseline clinical details were obtained, and spirometry and examination of serum B-type natriuretic peptide levels were performed before surgery. The primary endpoint was the incidence of postoperative cardiopulmonary complications. Results Postoperative cardiopulmonary complications were identified in 34 (43%) patients; these patients had significantly higher preoperative B-type natriuretic peptide levels than those without cardiopulmonary complications (84.0 ± 93.7 pg/mL vs 22.0 ± 18.2 pg/mL; p < 0.0001). The area under the receiver operating characteristic curve for B-type natriuretic peptide to predict postoperative cardiopulmonary complications after pulmonary resection for lung cancer was 0.85 (95% confidence interval 0.76 to 0.94; p < 0.0001). A B-type natriuretic peptide value of 30 pg/mL had a sensitivity of 79% and a specificity of 83% for predicting postoperative cardiopulmonary complications after pulmonary resection for lung cancer. The incidences of both cardiovascular and respiratory complications were significantly higher in patients with preoperative B-type natriuretic peptide levels of 30 pg/mL or more. Conclusions Preoperative B-type natriuretic peptide level could be a useful predictor of postoperative cardiopulmonary complications in elderly patients after pulmonary resection for lung cancer.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21871299</pmid><doi>10.1016/j.athoracsur.2011.03.085</doi><tpages>5</tpages></addata></record> |
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subjects | Age Factors Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiology. Vascular system Cardiothoracic Surgery Female Follow-Up Studies Heart Diseases - blood Heart Diseases - epidemiology Heart Diseases - etiology Humans Immunoenzyme Techniques Incidence Japan - epidemiology Lung Neoplasms - surgery Male Medical sciences Natriuretic Peptide, Brain - blood Pneumology Pneumonectomy - adverse effects Pneumonia - blood Pneumonia - epidemiology Pneumonia - etiology Prognosis Prospective Studies Respiratory Distress Syndrome, Adult - blood Respiratory Distress Syndrome, Adult - epidemiology Respiratory Distress Syndrome, Adult - etiology Risk Factors ROC Curve Surgery Survival Rate - trends Thoracic Surgery, Video-Assisted - adverse effects Tumors of the respiratory system and mediastinum |
title | B-Type Natriuretic Peptide as a Predictor of Postoperative Cardiopulmonary Complications in Elderly Patients Undergoing Pulmonary Resection for Lung Cancer |
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