Evidence map›Paper›PMID 32516898›Full record

ArticleJournal of clinical medicine2020

Significance and Diagnostic Accuracy of Early S100B Serum Concentration after Aneurysmal Subarachnoid Hemorrhage.

Baptiste Balança, Thomas Ritzenthaler, Florent Gobert, Caroline Richet, Carole Bodonian, Romain Carrillon, Anne Terrier, Laurent Desmurs, Armand Perret-Liaudet, Frédéric Dailler

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
  6. Early brain metabolic disturbances associated with delayed cerebral ischemia in patients with severe subarachnoid hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
  7. Article
  8. Integrative analysis of multi-omics data to identify three immune-related genes in the formation and progression of intracranial aneurysms.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Article
  9. Review
  10. Review
  11. Article
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

10 authors.

Baptiste BalançaHospices Civils de Lyon, Hôpital Pierre Wertheimer, Department of Neurological Anesthesiology and Intensive Care Medicine, 69500 Lyon, France.ORCID 0000-0001-7917-9645
Thomas RitzenthalerHospices Civils de Lyon, Hôpital Pierre Wertheimer, Department of Neurological Anesthesiology and Intensive Care Medicine, 69500 Lyon, France.
Florent GobertHospices Civils de Lyon, Hôpital Pierre Wertheimer, Department of Neurological Anesthesiology and Intensive Care Medicine, 69500 Lyon, France.
Caroline RichetHospices Civils de Lyon, Hôpital Pierre Wertheimer, Clinical Chemistry and Molecular Biology Laboratory, 69500 Lyon, France.ORCID 0000-0002-6645-2830
Carole BodonianHospices Civils de Lyon, Hôpital Pierre Wertheimer, Department of Neurological Anesthesiology and Intensive Care Medicine, 69500 Lyon, France.
Romain CarrillonHospices Civils de Lyon, Hôpital Pierre Wertheimer, Department of Neurological Anesthesiology and Intensive Care Medicine, 69500 Lyon, France.
Anne TerrierHospices Civils de Lyon, Hôpital Pierre Wertheimer, Department of Neurological Anesthesiology and Intensive Care Medicine, 69500 Lyon, France.
Laurent DesmursHospices Civils de Lyon, Hôpital Pierre Wertheimer, Clinical Chemistry and Molecular Biology Laboratory, 69500 Lyon, France.
Armand Perret-LiaudetHospices Civils de Lyon, Hôpital Pierre Wertheimer, Clinical Chemistry and Molecular Biology Laboratory, 69500 Lyon, France.
Frédéric DaillerHospices Civils de Lyon, Hôpital Pierre Wertheimer, Department of Neurological Anesthesiology and Intensive Care Medicine, 69500 Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly brain injuries (EBI) are one of the most important causes of morbidity and mortality after subarachnoid hemorrhage. At admission, a third of patients are unconscious (spontaneously or sedated) and EBI consequences are not evaluable. To date, it is unclear who will still be comatose (with severe EBI) and who will recover (with less severe EBI) once the aneurysm is treated and sedation withdrawn. The objective of the present study was to determine the diagnostic accuracy of S100B levels at hospital admission to identify patients with severe neurological consequences of EBI.

methodsPatients were consecutively included in this prospective blinded observational study. A motor component of the Glasgow coma score under 6 on day 3 was used to define patients with severe neurological consequences of EBI.

resultsA total of 81 patients were included: 25 patients were unconscious at admission, 68 were treated by coiling. On day 3, 12 patients had severe consequences of EBI. A maximal S100B value between admission and day 1 had an area under the receiver operating characteristic curve (AUC) of 86.7% to predict severe EBI consequences. In patients with impaired consciousness at admission, the AUC was 88.2%.

conclusionEarly S100B seems to have a good diagnostic value to predict severe EBI. Before claiming the usefulness of S100B as a surrogate marker of EBI severity to start earlier multimodal monitoring, these results must be confirmed in an independent validation cohort.

Indexed as

early brain injurypatient outcome assessmentS100B proteinsubarachnoid hemorrhage

Identifiers

PMID32516898
PMCPMC7356310

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.