Maintained high sustained serum malondialdehyde levels after severe brain trauma injury in non-survivor patients View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12-03

AUTHORS

Leonardo Lorente, María M. Martín, Pedro Abreu-González, Luis Ramos, Juan J. Cáceres, Mónica Argueso, Jordi Solé-Violán, Alejandro Jiménez, Victor García-Marín

ABSTRACT

ObjectiveHigher blood malondialdehyde (biomarker of lipid peroxidation) levels in the first hours of traumatic brain injury (TBI) have been found in patients with a worst prognosis. The objective of this study was to determine whether serum malondialdehyde levels during the first week of severe TBI could be used as mortality biomarkers. This was a multicenter, prospective and observational study performed in six Spanish Intensive Care Units. We included patients with severe TBI (defined as Glasgow Coma Scale < 9), and with Injury Severity Score in non-cranial aspects < 9. We determined serum malondialdehyde concentrations at days 1, 4 and 8 of TBI. We stablished 30-day mortality as the end-point study.ResultsWe found that serum malondialdehyde concentrations at days 1 (p < 0.001), 4 (p < 0.001), and 8 (p < 0.001) of TBI were higher in non-survivor (n = 34) than in survivor (n = 90) patients. We found an area under curve of serum malondialdehyde concentrations at days 1, 4, and 8 of TBI to predict 30-day mortality of 77% (p < 0.001), 87% (p < 0.001) and 84% (p < 0.001) respectively. Thus, the new and most relevant findings of our study were serum malondialdehyde levels during the first week of TBI could be used as mortality biomarkers. More... »

PAGES

789

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13104-019-4828-5

DOI

http://dx.doi.org/10.1186/s13104-019-4828-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1123097903

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31796118


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