Evidence map›Paper›PMID 38898030›Full record

ArticleScientific reports2024

Admission levels of serum biomarkers have additive and cumulative prognostic value in traumatic brain injury.

Ida A Kaaber, Maj Lesbo, Thea O Wichmann, Dorte Aa Olsen, Mikkel M Rasmussen, Ole Brink, Lars C Borris, Claus V B Hviid

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ida A KaaberDepartment of Clinical Biochemistry, Aarhus University Hospital, 8200, Aarhus, Denmark.
Maj LesboDepartment of Ortopedic Surgery, Viborg Regional Hospital, Viborg, Denmark.
Thea O WichmannDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Dorte Aa OlsenDepartment of Biochemistry and Immunology, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Mikkel M RasmussenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Ole BrinkDepartment of Ortopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.
Lars C BorrisDepartment of Ortopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.
Claus V B HviidDepartment of Clinical Biochemistry, Aarhus University Hospital, 8200, Aarhus, Denmark. Claus.Hviid@auh.rm.dk.

Funding

The Danish Victims Fund 21-610-00128
6 · The paper itself

Abstract

Elevated levels of CNS-derived serum proteins are associated with poor outcome in traumatic brain injury (TBI), but the value of adding acute serum biomarker levels to common clinical outcome predictors lacks evaluation. We analyzed admission serum samples for Total-Tau (T-Tau), Neurofilament light chain (Nfl), Glial fibrillary acidic protein (GFAP), and Ubiquitin C-terminal hydrolase L1 (UCHL1) in a cohort of 396 trauma patients including 240 patients with TBI. We assessed the independent association of biomarkers with 1-year mortality and 6-12 months Glasgow Outcome Scale Extended (GOSE) score, as well as the additive and cumulative value of biomarkers on Glasgow Coma Scale (GCS) and Marshall Score for outcome prediction. Nfl and T-Tau levels were independently associated with outcome (OR: Nfl = 1.65, p = 0.01; T-Tau = 1.99, p < 0.01). Nfl or T-Tau improved outcome prediction by GCS (Wald Chi, Nfl = 6.8-8.8, p < 0.01; T-Tau 7.2-11.3, p < 0.01) and the Marshall score (Wald Chi, Nfl = 16.2-17.5, p < 0.01; T-Tau 8.7-12.4, p < 0.01). Adding T-Tau atop Nfl further improved outcome prediction in majority of tested models (Wald Chi range 3.8-9.4, p ≤ 0.05). Our data suggest that acute levels of serum biomarkers are independently associated with outcome after TBI and add outcome predictive value to commonly used clinical scores.

Indexed as

BiomarkersBrain Injuries, TraumaticNeurofilament Proteinstau ProteinsUbiquitin ThiolesteraseAdultAgedFemaleGlasgow Coma ScaleGlasgow Outcome ScaleGlial Fibrillary Acidic ProteinHumansMaleMiddle AgedPrognosisBiomarkersGFAP protein, humanGlial Fibrillary Acidic Proteinneurofilament protein LNeurofilament Proteinstau ProteinsUbiquitin ThiolesteraseUCHL1 protein, human

Identifiers

PMID38898030
PMCPMC11187066

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.