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Prognostic value of NT-proBNP in patients with severe COVID-19

Lei Gao, Dan Jiang, Xue-song Wen, Xiao-cheng Cheng, Min Sun, Bin He, Lin-na You, Peng Lei, Wei-xiao Tan, Shu Qin, Guo-qiang Cai, Dong-ying Zhang
doi: https://doi.org/10.1101/2020.03.07.20031575
Lei Gao
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Dan Jiang
2Department of Cardiology, The First Branch of the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Xue-song Wen
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Xiao-cheng Cheng
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Min Sun
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Bin He
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Lin-na You
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Peng Lei
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Wei-xiao Tan
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Shu Qin
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Guo-qiang Cai
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
3Traditional Chinese Medicine hospital Dianjiang Chongqing, Chongqing 408300, China
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  • For correspondence: 185161439{at}qq.com zhangdongying{at}cqmu.edu.com
Dong-ying Zhang
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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  • For correspondence: 185161439{at}qq.com zhangdongying{at}cqmu.edu.com
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Abstract

The outbreak of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in China has been declared a public health emergency of international concern. The cardiac injury was dominate in the process. However, whether N terminal pro B type natriuretic peptide (NT-proBNP) predicted outcome of COVID-19 patients was unknown. The study initially enrolled 102 patients with severe COVID-19 pneumonia from a continuous sample. After screening out the ineligible cases, 54 patients were analyzed in this study. Results found that patients with higher NT-proBNP (above 88.64 pg/mL) level had more risks of in-hospital death. After adjusting for potential cofounders in separate modes, NT-proBNP presented as an independent risk factor of in-hospital death in patients with severe COVID-19.

Competing Interest Statement

The authors have declared no competing interest.

Clinical Trial

NCT04292964

Funding Statement

This study was supported by National Natural Science Foundation of China, 81970203; National Natural Science Foundation of China, 81570212; National Natural Science Foundation of China, 31800976; Chongqing Science and Health Joint Medical Research Project, 2018QNXM024.

Author Declarations

All relevant ethical guidelines have been followed; any necessary IRB and/or ethics committee approvals have been obtained and details of the IRB/oversight body are included in the manuscript.

Yes

All necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable.

Yes

Data Availability

The raw data required to reproduce these findings cannot be shared at this time as the data also forms part of an ongoing study.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission.
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Posted March 10, 2020.
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Prognostic value of NT-proBNP in patients with severe COVID-19
Lei Gao, Dan Jiang, Xue-song Wen, Xiao-cheng Cheng, Min Sun, Bin He, Lin-na You, Peng Lei, Wei-xiao Tan, Shu Qin, Guo-qiang Cai, Dong-ying Zhang
medRxiv 2020.03.07.20031575; doi: https://doi.org/10.1101/2020.03.07.20031575
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Prognostic value of NT-proBNP in patients with severe COVID-19
Lei Gao, Dan Jiang, Xue-song Wen, Xiao-cheng Cheng, Min Sun, Bin He, Lin-na You, Peng Lei, Wei-xiao Tan, Shu Qin, Guo-qiang Cai, Dong-ying Zhang
medRxiv 2020.03.07.20031575; doi: https://doi.org/10.1101/2020.03.07.20031575

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