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Circulation/PDA
O-031 Comparison Of Bnp And Nt-pro-bnp For Assessment Of The Patent Ductus Arteriosus In Very Preterm Infants
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  1. K König1,
  2. KJ Guy2,
  3. G Walsh2,
  4. SM Drew2,
  5. CP Barfield2
  1. 1Neonatal and Paediatric Intensive Care Unit, Children’s Hospital Lucerne, Lucerne, Switzerland
  2. 2Department of Paediatrics, Mercy Hospital for Women, Melbourne, Australia

Abstract

Background and aims B-type natriuretic peptide (BNP) and N-terminal-pro-BNP (NTproBNP) have been shown to correlate with the size of patent ductus arteriosus (PDA) in preterm infants. We investigated whether BNP or NTproBNP is more accurate for assessment of a PDA.

Methods Prospective observational study. Preterm infants born.

Results 60 infants were recruited, 58 had complete datasets. The cohort’s mean (SD) gestational age was 273 (22) weeks and had a mean (SD) birth weight of 1032 (315) grams. 46 (79.3%) infants had a PDA with a mean (SD) PDA diameter of 3.2 (0.9) mm. Median (IQR) BNP levels: 486.5 (219–1316) pg/ml for infants with PDA, 190 (95.5–514.5) pg/ml for infants without PDA. Median (IQR) NTproBNP levels: 10858.5 (6319–42108) pg/ml for infants with PDA, and 7488 (3363–14227.5) pg/ml for infants without PDA. Both BNP and NTproBNP showed a significant correlation with PDA size in this cohort: BNP R=0.35 (p = 0.0066); NTproBNP R = 0.31 (p = 0.018).

Conclusion BNP and NTproBNP were closely correlated to PDA size. Both markers were useful for assessment of PDA size in this cohort of very preterm infants.

https://doi.org/10.1136/archdischild-2014-307384.100

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