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ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 11 - 2024 |
doi: 10.3389/fcvm.2024.1454371
Predictive Value of NT-pro BNP on Outcomes of Children with ventricular septal defect Surgery
Provisionally accepted- 1 Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
- 2 Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, Beijing Municipality, China
Background: NoneLimited study has shown whether NT-pro BNPNT-proBNP is related to the prognosis of children with ventricular septal defect (VSD) surgery. The study was conducted to determine the predictive value of NT-pro BNPNT-proBNP on outcomes of children with VSD surgery. Methods: A total of 798 children with VSD surgery were enrolled, with NT-pro BNPNT-proBNP measured at preoperatively and 24-hour postoperatively. The short-and mid-term clinical outcomes were recorded. Propensity scores (PS) was performed to acquire pre-op and post-op NT pro-BNPpost NT-proBNP 24-hour PS-matched cohorts for comparisons between groups.Results: In the pre-op NT pro-BNPpre NT-proBNP PS-matched cohort, the higher NT pro-BNP group had longer hospitalization time and lower post-op 1-month EF value compared with low NT pro-BNP group (all P<0.05), and there wasn't significant difference of mechanical ventilation time, cardiopulmonary bypass (CPB) time, intensive care unit (CCU) stay, and ejection fraction (EF) values of 3 month to 12 months after surgery (all P>0.05). In the post-op NT pro-BNPpost NT-proBNP PS-matched cohort, there wasn't significant difference of mechanical ventilation time, CPB time, CCU stay, hospitalization time, and EF values of 1 month to 12 months after surgery between two groups (all P>0.05).Conclusions: VSD children with higher pre-op NT pro-BNPpre NT-proBNP level had longer hospital stays and worse cardiac function at 1 month after surgery than those with lower level.Pre-op NT pro-BNPPre NT-proBNP level had no effect on mechanical ventilation time, CPB
Keywords: Ventricular septal defect, Children, NT-pro BNPNT-proBNP, Predictive Value, clinical outcomes
Received: 25 Jun 2024; Accepted: 20 Dec 2024.
Copyright: © 2024 Chen, Tang, Lu, Li, Chen and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Ye Lu, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
Ma Li, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
Xinxin Chen, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
Techang Liu, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
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