B-type natriuretic peptide testing in the emergency setting for managing acute dyspnea
INTRODUCTION The performance of B-type natriuretic peptide to accurately diagnose dyspnea of cardiac origin has been widely proved. However, its impact in clinical practice is less clear. METHODS We searched in Epistemonikos, the largest database of systematic reviews in health, which is mainta...
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| Format: | Article |
| Language: | English |
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Medwave Estudios Limitada
2019-11-01
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| Series: | Medwave |
| Subjects: | |
| Online Access: | https://www.medwave.cl/link.cgi/Medwave/PuestaDia/ResEpis/7676 |
| _version_ | 1818999070715281408 |
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| author | María Morales Gabriel Rada |
| author_facet | María Morales Gabriel Rada |
| author_sort | María Morales |
| collection | DOAJ |
| description | INTRODUCTION
The performance of B-type natriuretic peptide to accurately diagnose dyspnea of cardiac origin has been widely proved. However, its impact in clinical practice is less clear.
METHODS
We searched in Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We extracted data from the systematic reviews, reanalyzed data of primary studies, conducted a meta-analysis and generated a summary of findings table using the GRADE approach.
RESULTS AND CONCLUSIONS
We identified two systematic reviews including five studies overall, of which all were randomized trials. We concluded the use of B-type natriuretic peptide for the management of acute dyspnea in the emergency setting probably leads to a small reduction in the need for hospitalization. Additionally, it may slightly reduce mortality and intensive care unit admission, but the certainty of the evidence is low. |
| first_indexed | 2024-12-20T22:11:35Z |
| format | Article |
| id | doaj.art-beb468144c7648f78011cea9679e5e7e |
| institution | Directory Open Access Journal |
| issn | 0717-6384 |
| language | English |
| last_indexed | 2024-12-20T22:11:35Z |
| publishDate | 2019-11-01 |
| publisher | Medwave Estudios Limitada |
| record_format | Article |
| series | Medwave |
| spelling | doaj.art-beb468144c7648f78011cea9679e5e7e2022-12-21T19:25:09ZengMedwave Estudios LimitadaMedwave0717-63842019-11-011910e7677e767710.5867/medwave.2019.10.7677B-type natriuretic peptide testing in the emergency setting for managing acute dyspneaMaría Morales0Gabriel Rada1Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Proyecto Epistemonikos, Santiago, ChileFacultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Proyecto Epistemonikos, Santiago, ChileINTRODUCTION The performance of B-type natriuretic peptide to accurately diagnose dyspnea of cardiac origin has been widely proved. However, its impact in clinical practice is less clear. METHODS We searched in Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We extracted data from the systematic reviews, reanalyzed data of primary studies, conducted a meta-analysis and generated a summary of findings table using the GRADE approach. RESULTS AND CONCLUSIONS We identified two systematic reviews including five studies overall, of which all were randomized trials. We concluded the use of B-type natriuretic peptide for the management of acute dyspnea in the emergency setting probably leads to a small reduction in the need for hospitalization. Additionally, it may slightly reduce mortality and intensive care unit admission, but the certainty of the evidence is low.https://www.medwave.cl/link.cgi/Medwave/PuestaDia/ResEpis/7676bnpacute dyspneaepistemonikosgrade |
| spellingShingle | María Morales Gabriel Rada B-type natriuretic peptide testing in the emergency setting for managing acute dyspnea Medwave bnp acute dyspnea epistemonikos grade |
| title | B-type natriuretic peptide testing in the emergency setting for managing acute dyspnea |
| title_full | B-type natriuretic peptide testing in the emergency setting for managing acute dyspnea |
| title_fullStr | B-type natriuretic peptide testing in the emergency setting for managing acute dyspnea |
| title_full_unstemmed | B-type natriuretic peptide testing in the emergency setting for managing acute dyspnea |
| title_short | B-type natriuretic peptide testing in the emergency setting for managing acute dyspnea |
| title_sort | b type natriuretic peptide testing in the emergency setting for managing acute dyspnea |
| topic | bnp acute dyspnea epistemonikos grade |
| url | https://www.medwave.cl/link.cgi/Medwave/PuestaDia/ResEpis/7676 |
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