High serum levels of TAC and early mortality in patients with spontaneous intracerebral haemorrhage View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-09-01

AUTHORS

Leonardo Lorente, María M. Martín, Antonia Pérez-Cejas, Agustín F. González-Rivero, Rafael Sabatel, Luis Ramos-Gómez, Mónica Argueso, Jordi Solé-Violán, Juan J. Cáceres, Alejandro Jiménez, Victor García-Marín

ABSTRACT

ObjectiveOxidation contributes to secondary brain injury after spontaneous intracerebral haemorrhage (SIH). One study found lower levels of total antioxidant capacity (TAC) in the blood in patients with SIH than in healthy subjects. However, there are no data on blood TAC levels and survival in patients with SIH. Therefore, the objective of our study was to determine if an association exists between serum TAC levels and mortality in patients with SIH.MethodsWe included patients with severe supratentorial SIH. We considered severe when Glasgow Coma Scale (GCS) < 9. Patients from 6 Spanish hospitals were included in this observational and prospective study. Serum TAC levels at days 1, 4 and 8 of SIH were determined. Thirty-day mortality was our end-point study.ResultsNon-surviving patients compared with surviving patients showed higher serum TAC levels at day 1 (p < 0.001), 4 (p < 0.001) and 8 (p = 0.001). An area under the curve was found for the prediction of 30-day mortality by serum TAC levels of 0.92 (95% CI = 0.85–96%; p < 0.001). Multiple logistic regression analysis showed an association of serum TAC levels with 30-day mortality (odds ratio = 16.513; 95% CI = 2.548–107.015; p = 0.003) controlling for midline shift, glycemia, early evacuation of SIH, intracerebral haemorrhage (ICH) score, age and volume of SIH.ConclusionsThe new findings of this study are that serum TAC levels are higher in non-surviving than in surviving patients, and that they are associated with mortality and could be used to predict mortality. More... »

PAGES

1491-1497

Journal

TITLE

Neurological Sciences

ISSUE

4

VOLUME

42

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10072-020-04692-z

DOI

http://dx.doi.org/10.1007/s10072-020-04692-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1130480375

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32870458


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