Serum S100B Protein as a Molecular Marker of Severity in Traumatic Brain Injury in Children

ŽUREK, Jiří, Ludmila BARTLOVÁ, Lukáš MAREK a Michal FEDORA. Serum S100B Protein as a Molecular Marker of Severity in Traumatic Brain Injury in Children. Česká a slovenská neurologie a neurochirurgie. Praha: ČLS JEP, 2010, roč. 73/106, č. 1, s. 37-44. ISSN 1210-7859.

Základní údaje

• Originální název: Serum S100B Protein as a Molecular Marker of Severity in Traumatic Brain Injury in Children
• Název česky: Sérový protein S100B jako molekulární marker závažnosti poranění mozku u dětí
• Název anglicky: Serum S100B Protein as a Molecular Marker of Severity in Traumatic Brain Injury in Children
• Autoři: ŽUREK, Jiří (203 Česká republika, garant, domácí), Ludmila BARTLOVÁ (203 Česká republika), Lukáš MAREK (203 Česká republika, domácí) a Michal FEDORA (203 Česká republika, domácí).
• Vydání: Česká a slovenská neurologie a neurochirurgie, Praha, ČLS JEP, 2010, 1210-7859.

Další údaje

• Originální jazyk: čeština
• Typ výsledku: Článek v odborném periodiku
• Obor: 30000 3. Medical and Health Sciences
• Stát vydavatele: Česká republika
• Utajení: není předmětem státního či obchodního tajemství
• Impakt faktor: Impact factor: 0.393
• Kód RIV: RIV/00216224:14110/10:00051304
• Organizační jednotka: Lékařská fakulta
• UT WoS: 000275593800005
• Klíčová slova česky: protein S100; vážný úraz hlavy; výsledek; děti
• Klíčová slova anglicky: S100protein; severe head injury; outcome; children
• Příznaky: Mezinárodní význam

Anotace

S100B is a protein biomarker that reflects CNS injury. The aims of the current study were to investigate correlations between the initial level of serum S100B protein and mortality and computerized tomography (CT) findings, as well as to establish whether there is an association between S100B and Glasgow outcome scale (GOS) after six months. This prospective study enrolled 43 patients with traumatic brain injury (TBI), verified by computerized tomography and categorized by Marshall classification. Venous blood samples were taken on admission and every 24 h for a maximum of six consecutive days. The outcome was evaluated six months after TBI using the Glasgow outcome scale (GOS) in all patients. GOS was taken as principal end point for all predictive analyses. We demonstrated statistically significant relationships between groups of patients and increased incidence of some types of injury – intracranial bleeding, subdural haematoma, skull fracture, and oedema. The ratio of S100B in 2nd day/initial S100B value significantly differentiated between the groups of patients compared. Levels of S100B were elevated in patients with some specific types of injury, namely intracranial bleeding, subdural haematoma and oedema. The level of S100B was confirmed as a clinically valuable indicator of severity of injury and is proposed as an effective predictor of risk outcome (GOS = 1).

Anotace anglicky

S100B is a protein biomarker that reflects CNS injury. The aims of the current study were to investigate correlations between the initial level of serum S100B protein and mortality and computerized tomography (CT) findings, as well as to establish whether there is an association between S100B and Glasgow outcome scale (GOS) after six months. This prospective study enrolled 43 patients with traumatic brain injury (TBI), verified by computerized tomography and categorized by Marshall classification. Venous blood samples were taken on admission and every 24 h for a maximum of six consecutive days. The outcome was evaluated six months after TBI using the Glasgow outcome scale (GOS) in all patients. GOS was taken as principal end point for all predictive analyses. We demonstrated statistically significant relationships between groups of patients and increased incidence of some types of injury – intracranial bleeding, subdural haematoma, skull fracture, and oedema. The ratio of S100B in 2nd day/initial S100B value significantly differentiated between the groups of patients compared. Levels of S100B were elevated in patients with some specific types of injury, namely intracranial bleeding, subdural haematoma and oedema. The level of S100B was confirmed as a clinically valuable indicator of severity of injury and is proposed as an effective predictor of risk outcome (GOS = 1).