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October 26, 2024Scientific ReportsOpen Access

NSE and S100β as serum alarmins in predicting neurological outcomes after cardiac arrest

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Why the study?

Cardiac arrest frequently causes mortality or severe neurological dysfunction, prompting the need to explore neurological prognostic factors in these patients.

Do serum NSE and S100β levels predict neurological outcomes in adult patients after cardiac arrest?

Population

191 adult patients with CA

Comparison

Good vs poor neurological outcome based on serum NSE and S100β levels

Design

Retrospective observational study

Key result

Serum NSE at ICU discharge showed excellent predictive accuracy for neurological outcomes (AUC 0.901), and an early warning model combining day 1 NSE and S100β yielded an AUC of 0.792.

Authors

JHJiyun HuMAMeilin AiSXShucai Xie

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Overview

May aid post-arrest prognostication; leaves open prospective validation before clinical adoption.

Study Design

Type

Observational (n=191)

Structured PICO

Do serum NSE and S100β levels predict neurological outcomes in adult patients after cardiac arrest?

P
Population
191 adult patients with cardiac arrest evaluated for neurological outcomes at ICU discharge.
E
Exposure
Serum neuron-specific enolase (NSE) and S100 calcium-binding protein β (S100β) measured at 1, 3, 5, 7 and ICU discharge days
O
Outcome
Cerebral Performance Category (CPC) scale score at ICU discharge (dichotomized as good [CPC 1-2] vs poor [CPC 3-5])hard clinical

Main Result

Effect estimate: AUC 0.901

Serum NSE and S100β levels, particularly when combined with clinical scores, provide a reliable early warning model for predicting poor neurological outcomes in patients following cardiac arrest.

Cite This Study

Hu et al. (2024) conducted an observational in Cardiac arrest (n=191). Serum neuron-specific enolase (NSE) and S100 calcium-binding protein β (S100β) was evaluated on Cerebral Performance Category (CPC) scale score at ICU discharge (AUC 0.901). Serum NSE at ICU discharge showed excellent predictive accuracy for neurological outcomes (AUC 0.901), and an early warning model combining day 1 NSE and S100β yielded an AUC of 0.792.

synapsesocial.com/papers/6a962ef14c88bd2e6afa04b5https://doi.org/10.1038/s41598-024-76979-6
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