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254088

Prognostic Value of NT-proBNP and 3 Months Readmission or Mortality after Congenital Heart Surgery

Article

Last updated: 03 Jan 2025

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Abstract

Background: The use of NT-proBNP in predicting outcomes after juvenile congenital heart surgery is uncertain. Objective: We wanted to determine whether the novel biomarker NT-proBNP might be used to identify babies at increased risk of readmission or death after congenital heart surgery. Patients and Methods: This was a cross-sectional study done from April 2021 to January 2022, at Pediatric Intensive Care Units at Alhusien and Bab Alsharia University Hospitals. Our study included 100 patients in the pediatric and adolescent age group. Biomarkers were assessed using an enzyme-linked immunosorbent assay with patterned arrays and electrochemiluminescence detection. The manufacturer's specifications were respected while repurposing pre-owned kits and equipment. Results: Soluble suppression of tumorigenicity 2 pre and postoperative values were significantly associated with readmission. Postoperative NT-ProBNP values were significantly associated with readmission. Only preoperative soluble suppression of tumorigenicity 2 with cut-off value of 1.46 showed significant association with readmission with sensitivity and specificity of 84.6 and 79.3% respectively. Postoperative NT-ProBNP and soluble suppression of tumorigenicity 2 with cut-off values of 904.12 and 1.46 respectively showed significant association with readmission with sensitivity and specificity of 95.5% and 97.7% respectively for NT-ProBNP and sensitivity and specificity 84.6% and 74.7% respectively for soluble suppression of tumorigenicity 2. No laboratory parameter change showed significant association with readmission. Conclusion: Postoperative NT-proBNP levels were strongly related with readmission after juvenile congenital heart surgery, with good sensitivity and specificity.  

DOI

10.21608/ejhm.2022.254088

Keywords

Congenital Heart Surgery, mortality, NT-proBNP, Pediatrics, readmission

Authors

First Name

Alhussein Mostafa

Last Name

Zahran

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Affiliation

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Email

alhusseinzahran@gmail.com

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Orcid

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First Name

Alhassan Mostafa

Last Name

Zahran

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Medhat Ali Salah

Last Name

Abd Elghaffar

MiddleName

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Affiliation

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Volume

88

Article Issue

1

Related Issue

33970

Issue Date

2022-07-01

Receive Date

2022-08-11

Publish Date

2022-07-01

Page Start

4,076

Page End

4,080

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_254088.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=254088

Order

290

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Prognostic Value of NT-proBNP and 3 Months Readmission or Mortality after Congenital Heart Surgery

Details

Type

Article

Created At

22 Jan 2023