Hematological Parameters Outperform Plasma Markers in Predicting Long-Term Mortality After Coronary Angiography

التفاصيل البيبلوغرافية
العنوان: Hematological Parameters Outperform Plasma Markers in Predicting Long-Term Mortality After Coronary Angiography
المؤلفون: Imo E. Hoefer, Hester M. den Ruijter, Crystel M. Gijsberts, Maarten J. ten Berg, Michiel Voskuil, Mark C.H. De Groot, Albert Huisman, Folkert W. Asselbergs, Wouter W. van Solinge, Dominique P.V. de Kleijn, Gerard Pasterkamp, Richard van Wijk
المصدر: Angiology, 69(7), 600. SAGE Publications Inc.
سنة النشر: 2018
مصطلحات موضوعية: Male, medicine.medical_specialty, medicine.drug_class, Population, 030204 cardiovascular system & hematology, Coronary Angiography, Coronary artery disease, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, Risk Factors, Internal medicine, Troponin I, Natriuretic Peptide, Brain, medicine, Natriuretic peptide, Humans, 030212 general & internal medicine, education, Aged, Proportional Hazards Models, Aged, 80 and over, education.field_of_study, Mean corpuscular hemoglobin concentration, medicine.diagnostic_test, Receiver operating characteristic, Proportional hazards model, business.industry, Area under the curve, biomarkers, Middle Aged, medicine.disease, mortality, Peptide Fragments, Survival Rate, ROC Curve, Cardiology, Female, business, Cardiology and Cardiovascular Medicine, coronary artery disease, Follow-Up Studies
الوصف: High-sensitivity troponin I (hsTnI) and N-terminal pro-brain natriuretic peptide (NT-pro-BNP) are predictors of coronary artery disease. Recently, routine hematological parameters emerged as mortality predictors. We examined the predictive value of hematological parameters (from the Utrecht Patient Oriented Database) and hsTnI and NT-pro-BNP for mortality in a coronary angiography population (Utrecht Coronary Biobank n = 1913). Using Cox regression, receiver operating characteristics, integrated discrimination improvement (IDI), and continuous net reclassification improvement (cNRI) analysis, we compared the predictive properties of hematological parameters with hsTnI and NT-pro-BNP for mortality. During a median follow-up duration of 1.8 years, 77 deaths occurred. A panel of 7 hematological parameters (leukocyte count, reticulocyte mean corpuscular hemoglobin concentration, red blood cell [RBC] green (FL1) fluorescence, %neutrophils, %large [>120 fL] RBCs, %monocytes, and coefficient of variation of neutrophil complexity) was highly predictive. Added to clinical characteristics, hematological parameters (area under the curve [AUC]: 0.855, P < .001; IDI: 0.04, P = .02; cNRI: 0.41, P < .001) were better predictors than hsTnI (AUC: 0.818) or NT-pro-BNP (AUC: 0.834) alone or combined (AUC: 0.834). Hematological parameters may provide mortality risk information following coronary angiography and may be superior to hsTnI and/or NT-pro-BNP.
وصف الملف: image/pdf
اللغة: English
تدمد: 0003-3197
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b13398ff9945480d801711a64468d33f
https://dspace.library.uu.nl/handle/1874/376960
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....b13398ff9945480d801711a64468d33f
قاعدة البيانات: OpenAIRE