التفاصيل البيبلوغرافية
| العنوان: |
Ability of Serum Glial Fibrillary Acidic Protein, Ubiquitin C-Terminal Hydrolase-L1, and S100B To Differentiate Normal and Abnormal Head Computed Tomography Findings in Patients with Suspected Mild or Moderate Traumatic Brain Injury |
| المؤلفون: |
Welch, Robert D, Ayaz, Syed I, Lewis, Lawrence M, Unden, Johan, Chen, James Y, Mika, Valerie H, Saville, Ben, Tyndall, Joseph A, Nash, Marshall, Buki, Andras, Barzo, Pal, Hack, Dallas, Tortella, Frank C, Schmid, Kara, Hayes, Ronald L, Vossough, Arastoo, Sweriduk, Stephen T, Bazarian, Jeffrey J |
| المصدر: |
Journal of Neurotrauma, vol 33, iss 2 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2016 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Biomedical and Clinical Sciences, Clinical Sciences, Traumatic Brain Injury (TBI), Traumatic Head and Spine Injury, Biomedical Imaging, Clinical Research, Brain Disorders, Physical Injury - Accidents and Adverse Effects, 4.2 Evaluation of markers and technologies, Detection, screening and diagnosis, Adult, Aged, Biomarkers, Brain Injuries, Female, Glial Fibrillary Acidic Protein, Humans, Male, Middle Aged, S100 Calcium Binding Protein beta Subunit, Sensitivity and Specificity, Tomography, X-Ray Computed, Ubiquitin Thiolesterase, Neurosciences, Neurology & Neurosurgery, Biological psychology |
| جغرافية الموضوع: |
203 - 214 |
| الوصف: |
Head computed tomography (CT) imaging is still a commonly obtained diagnostic test for patients with minor head injury despite availability of clinical decision rules to guide imaging use and recommendations to reduce radiation exposure resulting from unnecessary imaging. This prospective multicenter observational study of 251 patients with suspected mild to moderate traumatic brain injury (TBI) evaluated three serum biomarkers' (glial fibrillary acidic protein [GFAP], ubiquitin C-terminal hydrolase-L1 [UCH-L1] and S100B measured within 6 h of injury) ability to differentiate CT negative and CT positive findings. Of the 251 patients, 60.2% were male and 225 (89.6%) had a presenting Glasgow Coma Scale score of 15. A positive head CT (intracranial injury) was found in 36 (14.3%). UCH-L1 was 100% sensitive and 39% specific at a cutoff value >40 pg/mL. To retain 100% sensitivity, GFAP was 0% specific (cutoff value 0 pg/mL) and S100B had a specificity of only 2% (cutoff value 30 pg/mL). All three biomarkers had similar values for areas under the receiver operator characteristic curve: 0.79 (95% confidence interval; 0.70-0.88) for GFAP, 0.80 (0.71-0.89) for UCH-L1, and 0.75 (0.65-0.85) for S100B. Neither GFAP nor UCH-L1 curve values differed significantly from S100B (p = 0.21 and p = 0.77, respectively). In our patient cohort, UCH-L1 outperformed GFAP and S100B when the goal was to reduce CT use without sacrificing sensitivity. UCH-L1 values <40 pg/mL could potentially have aided in eliminating 83 of the 215 negative CT scans. These results require replication in other studies before the test is used in actual clinical practice. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt3cz1f3k3; https://escholarship.org/uc/item/3cz1f3k3Test |
| الإتاحة: |
https://escholarship.org/uc/item/3cz1f3k3Test |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.A4ABFBF8 |
| قاعدة البيانات: |
BASE |
