Table 4.
Discriminatory Changes in Best Risk Models With and Without BNP and NT‐proBNP
| C Statistics in Each Model (n=5525) | ||||
|---|---|---|---|---|
| Base Model | BNP/NT‐proBNP in Model | NRI | IDI | |
| Death (397 events) | ||||
| BNP | 0.77 (74–0.79) | 0.82 (0.80–0.84)a | 30.6% (25.2–36.8)a | 5.0% (3.5–7.2)a |
| NT‐proBNP | 0.81 (0.79–0.83)a | 24.3% (17.4–29.3)a | 3.3% (2.1–5.0)a | |
| Cardiovascular death (286 events) | ||||
| BNP | 0.77 (0.74–0.80) | 0.83 (0.81–0.86)a | 36.0% (27.4–41.4)a | 5.6% (3.4–8.6)a |
| NT‐proBNP | 0.83 (0.80–0.86)a | 30.9% (21.7–36.9)a | 4.0% (2.4–6.3)a | |
| MI (473 events) | ||||
| BNP | 0.71 (0.68–0.73) | 0.72 (0.70–0.75)a | 14.3% (9.3–19.5)a | 1.2% (0.6–2.1)a |
| NT‐proBNP | 0.72 (0.67–0.74)a | 10.6% (5.7–16.6)a | 0.8% (0.3–1.6)a | |
| HF (221 events) | ||||
| BNP | 0.84 (0.81–0.86) | 0.87 (0.85–0.89)a | 35.4% (24.7–40.6)a | 5.0% (3.0–7.6)a |
| NT‐proBNP | 0.87 (0.84–0.89)a | 29.9% (21.8–36.6)a | 3.8% (2.2–5.8)a | |
| Stroke (115 events) | ||||
| BNP | 0.74 (0.70–0.79) | 0.76 (0.72–0.80) | 19.3% (8.8–29.9)a | 0.4% (0–1.2) |
| NT‐proBNP | 0.76 (0.72–0.80) | 17.2% (6.3–28.1)a | 0.2% (0–0.8) | |
NRI and IDI summarized as mean percent improvement ±95% CI. BNP indicates B‐type natriuretic peptide; HF, heart failure; IDI, Integrated Discrimination Index; MI, myocardial infarction; NRI, Net Reclassification Index; NT‐proBNP, N‐terminal prohormone B‐type natriuretic peptide.
P<0.05, comparison between base model and BNP/NT‐proBNP model.