Serum S-100B and cleaved-tau are poor predictors of long-term outcome after mild traumatic brain injury

Serum S-100B and cleaved-tau are poor predictors of long-term outcome after mild traumatic brain injury
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DOI:
10.1080/02699050500488207
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发表时间:
2006-06-01
期刊:
影响因子:
1.9
通讯作者:
Stigbrand, Torgney
Stigbrand, Torgney
中科院分区:
医学4区
文献类型:
--
作者:
Bazarian, Jeffrey J.;Zemlan, Frank P.;Stigbrand, Torgney

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主要目标:确定血清S-100 B和C-tau水平与轻度创伤性脑损伤后长期预后的关系(轻度TBI)。研究设计:对急诊科就诊的35名轻度TBI受试者进行前瞻性研究。方法和程序:6小时血清S-100 B和C-tau水平与3个月Rivermead脑震荡后问卷(RPCQ)评分和脑震荡后综合征(PCS)的比较主要结果与结论:RPCQ评分与血清标志物水平呈弱线性相关(S-100 B:r = 0.071,C-tau:r = -0.21)。标记物水平与3个月PCS之间无统计学显著相关性(S-100 B:AUC = 0.589,95% CI)。038,0.80; C-tau:AUC = 0.634,95%CI 0.43,0.84)。结论:血清S-100 B和C-tau水平对轻度TBI后3个月预后的预测价值较低。
Primary objective: To determine the relationship of serum S-100B and C-tau levels to long-term outcome after mild traumatic brain injury (mild TBI).Research design: A prospective study of 35 mild TBI subjects presenting to the emergency department.Methods and procedures: Six hour serum S-100B and C-tau levels compared to 3-month Rivermead Post Concussion Questionnaire (RPCQ) scores and post- concussive syndrome (PCS).Main outcomes and results: The linear correlation between marker levels and RPCQ scores was weak (S-100B: r = 0.071, C-tau: r = -0.21). There was no statistically significant correlation between marker levels and 3-month PCS (S-100B: AUC = 0.589, 95% CI. 038, 0.80; C-tau: AUC = 0.634, 95% CI 0.43, 0.84). The sensitivity of these markers ranged from 43.8-56.3% and the specificity from 35.7-71.4%.Conclusions: Initial serum S-100B and C-tau levels appear to be poor predictors of 3-month outcome after mild TBI.