{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T06:39:07Z","timestamp":1785220747933,"version":"3.55.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":1989,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Our purpose was to investigate the association between the B-type natriuretic peptide (BNP) level at discharge, the occurrence of worsening renal function (WRF), and long-term outcomes in patients with heart failure (HF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We enrolled hospitalized acute HF patients. We divided patients into four groups on the basis of BNP &amp;lt;250 pg\/mL (BNP\u2212) or BNP \u2265250 pg\/mL (BNP+) at discharge and the occurrence of WRF during admission: BNP\u2212\/WRF\u2212, BNP\u2212\/WRF+, BNP+\/WRF\u2212, and BNP+\/WRF+. We evaluated the association between BNP at discharge, WRF, and cardiovascular\/all-cause mortality\/hospitalization due to HF. Clinical follow-up was completed in 301 patients. At discharge, percentages of the patients with clinical signs of HF were low and similar among four groups. The median follow-up period was 1206 days (interquartile range, 733\u20131825 days). The composite endpoint of cardiovascular mortality and HF hospitalization was significantly different between the four groups [12.9% (BNP\u2212\/WRF\u2212), 22.7% (BNP\u2212\/WRF+), 35.8% (BNP+\/WRF\u2212), and 55.4% (BNP+\/WRF+), P &amp;lt; 0.0001]. All-cause mortality was also different etween the four groups (15.1%, 38.6%, 28.7%, and 39.3%, respectively, P = 0.003). In the multivariate Cox proportional hazards model, the combination of BNP \u2265250 pg\/mL and WRF showed the highest hazard ratio (HR) for composite endpoint (HR, 5.201; 95% confidence interval, 2.582\u201311.11; P &amp;lt; 0.0001), and BNP\u2212\/WRF+ was associated with increased all-cause mortality (HR, 2.286; 95% confidence interval, 1.089\u20134.875; P = 0.03). Patients in BNP+\/WRF+ had a higher cardiovascular mortality (28.6%), and those in BNP\u2212\/WRF+ had a high non-cardiovascular mortality (29.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Heart failure patients with BNP \u2265250 pg\/mL at discharge and in-hospital occurrence of WRF had the highest risk for the composite endpoint (cardiovascular mortality and HF hospitalization) among groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.12901","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T07:48:59Z","timestamp":1594280939000},"page":"2912-2921","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Poor Prognosis of Heart Failure Patients with In-Hospital Worsening Renal Function and Elevated BNP at Discharge"],"prefix":"10.1093","volume":"7","author":[{"given":"Toshitaka","family":"Okabe","sequence":"first","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadayuki","family":"Yakushiji","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiko","family":"Kido","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taro","family":"Kimura","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Asukai","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suguru","family":"Shimazu","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jumpei","family":"Saito","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Oyama","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wataru","family":"Igawa","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morio","family":"Ono","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seitaro","family":"Ebara","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kennosuke","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myong Hwa","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kisaki","family":"Amemiya","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoei","family":"Isomura","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital , 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503 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