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  4. PREDICTION OF SERUM NEURITIN AND NEURON-SPECIFIC ENOLASE FOR PROGNOSIS IN PATIENTS WITH TRAUMATIC BRAIN INJURY COMBINED WITH SPINAL CORD INJURY

PREDICTION OF SERUM NEURITIN AND NEURON-SPECIFIC ENOLASE FOR PROGNOSIS IN PATIENTS WITH TRAUMATIC BRAIN INJURY COMBINED WITH SPINAL CORD INJURY

J Med Biochem, 2024 · DOI: 10.5937/jomb0-45469 · Published: January 1, 2024

Spinal Cord InjuryNeurologyBrain Injury

Simple Explanation

This study investigates the use of serum neuritin and neuron-specific enolase (NSE) levels to predict the prognosis of patients who have experienced both traumatic brain injury (TBI) and spinal cord injury (SCI). These biomarkers are believed to play a role in nerve cell recovery. The research involved 60 patients divided into three groups based on their prognosis: favorable, poor, or death. The levels of neuritin and NSE, along with other clinical indicators, were compared among the groups to assess their predictive value. The findings suggest that measuring serum neurofilament and NSE together can more accurately predict the prognosis of TBI and SCI patients than measuring either biomarker alone. This could help doctors make better decisions about treatment and care.

Study Duration
18 Months
Participants
60 patients with combined TBI and SCI
Evidence Level
Prospective cohort study

Key Findings

  • 1
    Patients with poor outcomes (poor prognosis or death) had a significantly higher proportion of combined organ injuries and hypotension compared to those with favorable outcomes.
  • 2
    Levels of platelets (PLT), D-dimer (D-D), antithrombin III (AT-III), S100b protein, NSE, and serum neurofilament were significantly higher in the groups with poorer prognoses.
  • 3
    Combining the measurement of NSE and serum neurofilament significantly improved the accuracy of prognosis prediction compared to using either biomarker alone.

Research Summary

This study evaluated the predictive value of serum neuritin and neuron-specific enolase (NSE) for prognosis in patients with traumatic brain injury (TBI) combined with spinal cord injury (SCI). The study found that factors such as other organ injuries, hypotension, and levels of various biomarkers should be considered when assessing the prognosis of TBI combined with SCI patients. Combined testing of serum neurofilament and NSE can more accurately predict the prognosis of TBI combined with SCI patients.

Practical Implications

Improved Prognosis Assessment

Integrating the measurement of serum neurofilament and NSE, alongside other clinical indicators, can enhance the accuracy of prognosis prediction in TBI and SCI patients.

Targeted Treatment Strategies

Identifying key prognostic factors, such as hypotension and combined organ injuries, can guide the development of targeted treatment strategies to improve patient outcomes.

Enhanced Clinical Decision-Making

The study's findings provide clinicians with a more reliable basis for patient treatment and management, potentially leading to better care and improved quality of life.

Study Limitations

  • 1
    Small sample size
  • 2
    Further research and validation needed
  • 3
    Not specified

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