Safety and efficacy of the perioperative administration of recombinant human brain natriuretic peptide (rhBNP): a systematic review and meta-analysis.

Abstract:

Objective:Retrospective studies and a meta-analysis were performed to evaluate the safety and effectiveness of the perioperative administration of recombinant human brain natriuretic peptide (rhBNP) during cardiac surgery under extracorporeal circulation. Methods:Computerized literature searches were performed in Medline, Embase, The Cochrane Library, CNKI, CBM, and WANFANG to find randomized controlled trials (RCTs) related to the perioperative administration of rhBNP during cardiac surgery starting from the database inception until December 2016. Two researchers independently performed study screening, information extraction, and quality evaluation according to the inclusion/exclusion criteria, and a meta-analysis was performed using RevMan 5.2 software. Results:A total of 12 studies were analyzed, including 12 RCTs and 727 patients. The meta-analysis results indicated that the perioperative administration of rhBNP could reduce the occurrence rate of postoperative complications, length of intensive care unit (ICU) stay, length of hospital stay, and serum creatinine (Scr) levels, and increase the 24-hour urine volume; however, it did not affect the postoperative mortality rate. Conclusion:The perioperative administration of rhBNP during cardiac surgery was safe and effective, and could improve the prognosis of the patients.

journal_name

Ther Clin Risk Manag

authors

Hua P,Liu J,Tao J,Lin X,Zou R,Zhang D,Yang S

doi

10.2147/TCRM.S143247

subject

Has Abstract

pub_date

2018-02-20 00:00:00

pages

313-321

eissn

1176-6336

issn

1178-203X

pii

tcrm-14-313

journal_volume

14

pub_type

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