1. Combination of neuron-specific enolase measurement and initial neurological examination for the prediction of neurological outcomes after cardiac arrest.
- Author
-
Lee JH, Kim YH, Lee JH, Lee DW, Hwang SY, Youn CS, Kim JH, Sim MS, and Jeung KW
- Subjects
- Female, Glasgow Coma Scale, Heart Arrest complications, Heart Arrest genetics, Humans, Male, Middle Aged, Nervous System Diseases complications, Nervous System Diseases pathology, Phosphopyruvate Hydratase genetics, Predictive Value of Tests, Prognosis, Heart Arrest pathology, Nervous System Diseases diagnosis, Neurologic Examination methods, Phosphopyruvate Hydratase isolation & purification
- Abstract
This study aimed to investigate the efficacy of the combination of neuron-specific enolase (NSE) measurement and initial neurological examination in predicting the neurological outcomes of patients with cardiac arrest (CA) by retrospectively analyzing data from the Korean Hypothermia Network prospective registry. NSE levels were recorded at 48 and 72 h after CA. The initial Full Outline of UnResponsiveness (FOUR) and Glasgow Coma Scale (GCS) scores were recorded. These variables were categorized using the scorecard method. The primary endpoint was poor neurological outcomes at 6 months. Of the 475 patients, 171 (36%) had good neurological outcomes at 6 months. The areas under the curve (AUCs) of the categorized NSE levels at 72 h, GCS score, and FOUR score were 0.889, 0.722, and 0.779, respectively. The AUCs of the combinations of categorized NSE levels at 72 h with categorized GCS scores and FOUR score were 0.910 and 0.912, respectively. Each combination was significantly higher than the AUC value of the categorized NSE level at 72 h alone (with GCS: p = 0.015; with FOUR: p = 0.026). Combining NSE measurement and initial neurological examination improved the prediction of neurological outcomes., (© 2021. The Author(s).)
- Published
- 2021
- Full Text
- View/download PDF