scholarly journals Diagnostic and Prognostic Utility of Brain Natriuretic Peptide in Subjects Admitted to the ICU With Hypoxic Respiratory Failure Due to Noncardiogenic and Cardiogenic Pulmonary Edema

CHEST Journal ◽  
2007 ◽  
Vol 131 (4) ◽  
pp. 964-971 ◽  
Author(s):  
Dimitri Karmpaliotis ◽  
Ajay J. Kirtane ◽  
Christopher P. Ruisi ◽  
Tamar Polonsky ◽  
Atul Malhotra ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Brain Natriuretic Peptide ◽  
Pulmonary Edema ◽  
Natriuretic Peptide ◽  
Cardiogenic Pulmonary Edema ◽  
Prognostic Utility ◽  
Hypoxic Respiratory Failure

scholarly journals Protocol for A Systematic Review and Meta-Analysis of Studies on the Use of Brain Natriuretic Peptide and N-Terminal Brain Natriuretic Peptide Levels in the Diagnosis of Cardiopulmonary Edema in Acute Respiratory Failure

2020 ◽  
Author(s):  
Takero Terayama ◽  
Takuya Taniguchi ◽  
Ryosuke Imai ◽  
Keisuke Anan ◽  
Takuo Yoshida ◽  
...  
Keyword(s):  
Systematic Review ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Diagnostic Accuracy ◽  
Brain Natriuretic Peptide ◽  
Pulmonary Edema ◽  
Diagnostic Test ◽  
Natriuretic Peptide ◽  
Meta Analysis ◽  
Test Accuracy

Abstract Background Dyspnea with bilateral pulmonary edema is common among patients in emergency departments (EDs) or intensive care units (ICUs). For the initial management of patients with this condition, cardiopulmonary edema (CPE) must be differentiated from acute respiratory distress syndrome (ARDS) in clinical settings. Brain natriuretic peptide (BNP) and N-terminal brain natriuretic peptide (NT-proBNP) are useful in distinguishing these conditions. However, current data about the use of these indexes are limited. Hence, we planned to perform a systematic review and meta-analysis to determine the accuracy of the two indexes for the diagnosis of CPE.Methods We designed and registered a study protocol for a systematic review and meta-analysis. This study aims to determine the diagnostic accuracy of BNP and NT-proBNP based on the standards of the methodology of the Cochrane Handbook for Systematic Reviews of Diagnostic Test Accuracy and the Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies in reporting the findings of this review. We will search PubMed (MEDLINE), Cochrane Library, www.clinicaltrials.gov, and International Clinical Trials Registry Platform. Randomized controlled trials and observational cohort studies reporting the accuracy in diagnosing CPE among adult patients with dyspnea and bilateral pulmonary edema will be included in the analysis. Two reviewers will independently screen articles, extract data, and evaluate for quality and bias using the Quality Assessment of Diagnostic Accuracy Studies. Then, a meta-analysis will be performed, and different statistical methods will be used to investigate heterogeneity among studies. A subgroup analysis of elderly patients with left ventricular dysfunction or chronic renal dysfunction will be performed. In the meta-analysis, a hierarchical summary receiver operating characteristic model or a bivariate model will be used in each index test, as appropriate.Discussion A systematic review and meta-analysis of the accuracy of BNP and NT-proBNP for the diagnosis of CPE will be conducted. The result of this study can help clinicians to identify an appropriate initial treatment for patients with acute respiratory failure, including those with ARDS and CPE. To the best of our knowledge, this will be the first comprehensive systematic review focusing on ARDS management in a specific population.Systematic review registrationUMIN-CTR ID: UMIN000040983.

scholarly journals Protocol for a systematic review and meta-analysis of studies on the use of brain natriuretic peptide and N-terminal brain natriuretic peptide levels in the diagnosis of cardiopulmonary edema in acute respiratory failure

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Takero Terayama ◽  
Takuya Taniguchi ◽  
Ryosuke Imai ◽  
Keisuke Anan ◽  
Takuo Yoshida ◽  
...  
Keyword(s):  
Systematic Review ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Diagnostic Accuracy ◽  
Brain Natriuretic Peptide ◽  
Pulmonary Edema ◽  
Diagnostic Test ◽  
Natriuretic Peptide ◽  
Meta Analysis ◽  
Test Accuracy

Abstract Background Dyspnea with bilateral pulmonary edema is common among patients in emergency departments (EDs) or intensive care units (ICUs). For the initial management of patients with this condition, cardiopulmonary edema (CPE) must be differentiated from acute respiratory distress syndrome (ARDS) in clinical settings. Brain natriuretic peptide (BNP) and N-terminal brain natriuretic peptide (NT-proBNP) are useful in distinguishing these conditions. However, current data about the use of these indexes are limited. Hence, we planned to perform a systematic review and meta-analysis to determine the accuracy of the two indexes for the diagnosis of CPE. Methods We designed and registered a study protocol for a systematic review and meta-analysis. This study aims to determine the diagnostic accuracy of BNP and NT-proBNP based on the standards of the methodology of the Cochrane Handbook for Systematic Reviews of Diagnostic Test Accuracy and the Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies in reporting the findings of this review. We will search PubMed (MEDLINE), Cochrane Library, Embase, www.ClinicalTrials.gov, International Clinical Trials Registry Platform, and Google Scholar. Randomized controlled trials, cross-sectional studies, and observational cohort studies reporting the accuracy in diagnosing CPE among adult patients with dyspnea and bilateral pulmonary edema will be included in the analysis. There will be no limits regarding language and publication date for this review. Two reviewers will independently screen articles, extract data, evaluate for quality and bias using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2), and use Grading of Recommendations Assessment, Development and Evaluation to summarize the strength of body of evidence. Then, a meta-analysis will be performed, and different statistical methods will be used to investigate heterogeneity among studies. A subgroup analysis of elderly patients with left ventricular dysfunction or chronic renal dysfunction will be performed. In the meta-analysis, a hierarchical summary receiver operating characteristic model or a bivariate model will be used in each index test, as appropriate. Discussion A systematic review and meta-analysis of the accuracy of BNP and NT-proBNP for the diagnosis of CPE will be conducted. The result of this study can help clinicians to identify an appropriate initial treatment for patients with acute respiratory failure, including those with ARDS and CPE. To the best of our knowledge, this will be the first comprehensive systematic review focusing on ARDS management in a specific population. Systematic review registration PROSPERO ID CRD42020201576

B-type natriuretic peptide in the assessment of acute lung injury and cardiogenic pulmonary edema*

2006 ◽  
Vol 34 (7) ◽  
pp. 1941-1946 ◽  
Author(s):  
Rimki Rana ◽  
Nicholas E. Vlahakis ◽  
Craig E. Daniels ◽  
Allan S. Jaffe ◽  
George G. Klee ◽  
...  
Keyword(s):  
Acute Lung Injury ◽  
Lung Injury ◽  
Pulmonary Edema ◽  
Natriuretic Peptide ◽  
Cardiogenic Pulmonary Edema

scholarly journals Routine Use of Prescription Adderall Leading to Non-cardiogenic Pulmonary Edema and Respiratory Failure

Cureus ◽  
2021 ◽  
Author(s):  
Alisha Khan ◽  
Bilal Talha ◽  
Vrinda Vyas ◽  
Usman Khan ◽  
Suman Rao ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Pulmonary Edema ◽  
Cardiogenic Pulmonary Edema
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