C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults.
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/30370 |
Resumo: | Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Interna. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Pós Graduação. Belo Horizonte, MG, Brazil |
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Beleigoli, Alline MariaBoersma, EricDiniz, Maria de Fátima HaueisenVidigal, Pedro G.Costa, Maria Fernanda Furtado LimaRibeiro, Antonio Luiz Pinho2018-12-03T17:59:22Z2018-12-03T17:59:22Z2013BELEIGOLI, Alline Maria et al. C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. PLoS One, v. 8, n. 9, e75809, 2013.1932-6203https://www.arca.fiocruz.br/handle/icict/3037010.1371/journal.pone.0075809engPublic Library of Sciencefatores de riscoidososmortalidaderisk factorselderlyC-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Interna. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Pós Graduação. Belo Horizonte, MG, BrazilDepartment of Cardiology. Erasmus Medical Center. Rotterdam, The NetherlandsUniversidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Interna. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Pós Graduação. Belo Horizonte, MG, BrazilUniversidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Diagnostica. Belo Horizonte, MG, BrazilUniversidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Interna. Belo Horizonte, MG, Brazil/Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Belo Horizonte, MG, BrazilUniversidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Interna. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Pós Graduação. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Hospital das Clínicas. Belo Horizonte, MG, BrazilBACKGROUND: New biomarkers may aid in preventive and end-of-life decisions in older adults if they enhance the prognostic ability of traditional risk factors. We investigated whether C-reactive protein (CRP) and/or B-type natriuretic peptide (BNP) improve the ability to predict overall mortality among the elderly of the Bambuí, Brazil Study of Aging when added to traditional risk factors. METHODS: From 1997 to 2007, 1,470 community-dwelling individuals (≥60 years) were followed-up. Death was ascertained by continuous verification of death certificates. We calculated hazard ratios per 1 standard deviation change (HR) of death for traditional risk factors only (old model), and traditional risk factors plus CRP and/or BNP (new models) and assessed calibration of the models. Subsequently, we compared c-statistic of each of the new models to the old one, and calculated integrated discriminative improvement (IDI) and net reclassification improvement (NRI). RESULTS: 544 (37.0%) participants died in a mean follow-up time of 9.0 years. CRP (HR 1.28, 95% CI 1.17-1.40), BNP (HR 1.31 95% CI 1.19-1.45), and CRP plus BNP (HR 1.26, 95% CI 1.15-1.38, and HR 1.29, 95% CI 1.16-1.42, respectively) were independent determinants of mortality. All models were well-calibrated. Discrimination was similar among the old (c-statistic 0.78 [0.78-0.81]) and new models (p=0.43 for CRP; p=0.57 for BNP; and p=0.31 for CRP plus BNP). Compared to the old model, CRP, BNP, and CRP plus BNP models led to an IDI of 0.009 (p<0.001), -0.005 (p<0.001) and -0.003 (p=0.84), and a NRI of 0.04 (p=0.24), 0.07 (p=0.08) and 0.06 (p=0.10), respectively. CONCLUSIONS: Despite being independent predictors of long-term risk of death, compared to traditional risk factors CRP and/or BNP led to either a modest or non-significant improvement in the ability of predicting all-cause mortality in older adults.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/30370/1/license.txt9193a7c197bc67acd023525e72a03240MD51ORIGINALC-Reactive Protein and B-Type Natriuretic Peptide Yield Either a Non-.pdfC-Reactive Protein and B-Type Natriuretic Peptide Yield Either a Non-.pdfapplication/pdf6216147https://www.arca.fiocruz.br/bitstream/icict/30370/2/C-Reactive%20Protein%20and%20B-Type%20Natriuretic%20Peptide%20Yield%20Either%20a%20Non-.pdf53ce371b7d000f6cba99f080c1dcad77MD52TEXTC-Reactive Protein and B-Type Natriuretic Peptide Yield Either a Non-.pdf.txtC-Reactive 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dc.title.pt_BR.fl_str_mv |
C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. |
title |
C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. |
spellingShingle |
C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. Beleigoli, Alline Maria fatores de risco idosos mortalidade risk factors elderly |
title_short |
C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. |
title_full |
C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. |
title_fullStr |
C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. |
title_full_unstemmed |
C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. |
title_sort |
C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. |
author |
Beleigoli, Alline Maria |
author_facet |
Beleigoli, Alline Maria Boersma, Eric Diniz, Maria de Fátima Haueisen Vidigal, Pedro G. Costa, Maria Fernanda Furtado Lima Ribeiro, Antonio Luiz Pinho |
author_role |
author |
author2 |
Boersma, Eric Diniz, Maria de Fátima Haueisen Vidigal, Pedro G. Costa, Maria Fernanda Furtado Lima Ribeiro, Antonio Luiz Pinho |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Beleigoli, Alline Maria Boersma, Eric Diniz, Maria de Fátima Haueisen Vidigal, Pedro G. Costa, Maria Fernanda Furtado Lima Ribeiro, Antonio Luiz Pinho |
dc.subject.other.pt_BR.fl_str_mv |
fatores de risco idosos mortalidade |
topic |
fatores de risco idosos mortalidade risk factors elderly |
dc.subject.en.pt_BR.fl_str_mv |
risk factors elderly |
description |
Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Interna. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Pós Graduação. Belo Horizonte, MG, Brazil |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013 |
dc.date.accessioned.fl_str_mv |
2018-12-03T17:59:22Z |
dc.date.available.fl_str_mv |
2018-12-03T17:59:22Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
BELEIGOLI, Alline Maria et al. C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. PLoS One, v. 8, n. 9, e75809, 2013. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/30370 |
dc.identifier.issn.pt_BR.fl_str_mv |
1932-6203 |
dc.identifier.doi.none.fl_str_mv |
10.1371/journal.pone.0075809 |
identifier_str_mv |
BELEIGOLI, Alline Maria et al. C-reactive protein and B-type natriuretic peptide yield either a non-significant or a modest incremental value to traditional risk factors in predicting long-term overall mortality in older adults. PLoS One, v. 8, n. 9, e75809, 2013. 1932-6203 10.1371/journal.pone.0075809 |
url |
https://www.arca.fiocruz.br/handle/icict/30370 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Public Library of Science |
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Public Library of Science |
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