See also:
All heart failure clinical trials
All clinical trials of BNP guided management
All clinical trials of BNP-guided management
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|
Treatments
| Studied treatment |
BNP-guidance as a supplement to clinical judgment
goal of decreasing BNP plasma levels <100 pg/ml
|
| Control treatment |
traditional approach
medical treatment according to either current guidelines
|
Patients
| Patients |
patients in NYHA functional class 2-3 with an LVEF <45%; optimally treated with angiotensin-converting enzyme inhibitors (ACEIs), beta-blockers, and diuretics by CHF specialists |
Method and design
| Randomized effectives |
110 / 110 (studied vs. control) |
| Design |
Parallel groups |
| Blinding |
open |
| Follow-up duration |
6 mo |
| Primary endpoint |
CHF-related death or hospital stay for CHF |
Results
Endpoint
Studied treat. n/N
Control treat. n/N
Graph
RR [95% CI]
death or hospitalization
24 / 110
52 / 110
0,46 [0,31;0,69]
0
2
1.0
|
Relative risks
|
| Endpoint |
Events (%) |
Relative Risk |
95% CI |
Endpoint definition in the trial |
Ref |
| Studied treat. |
Control treat. |
|
death or hospitalization
|
24 / 110 (21,8%) |
52 / 110 (47,3%) |
0,46 |
[0,31;0,69] |
HF-related death or unplanned hospitalization |
|
|
The primary endpoint (if exists) appears in blod characters
|
|
Reference(s) used for data extraction:
|
| Endpoint |
studied treat. |
control treat. |
mean diff |
|
Absolute risk reduction
|
| Endpoint |
Events rate |
Absolute risk reduction (ARR) |
| Studied treat. |
Control treat. |
| death or hospitalization |
21,82% |
47,27% |
-254,5‰
|
Reference(s)
-
Jourdain P, Jondeau G, Funck F, Gueffet P, Le Helloco A, Donal E, Aupetit JF, Aumont MC, Galinier M, Eicher JC, Cohen-Solal A, Juillière Y.
Plasma brain natriuretic peptide-guided therapy to improve outcome in heart failure: the STARS-BNP Multicenter Study..
J Am Coll Cardiol 2007;49:1733-9
Pubmed
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Hubmed
| Fulltext
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