Evidence map›Paper›PMID 38302568›Full record

SynthesisScientific reports2024

Neuron-specific enolase at admission as a predictor for stroke volume, severity and outcome in ischemic stroke patients: a prognostic biomarker review.

Matheus Menão Mochetti, Estêvão Garcia Porello Silva, Adriana Aparecida Feltrin Correa, Marcela Rocha Cabette, Iago Navas Perissinotti, Lucas Oliveira Junqueira E Silva, Adriano de Souza Pessoa, Rodrigo Cardoso de Oliveira, Luiz Fernando Ferraz da Silva, Heraldo Possolo de Souza and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Lower baseline serum neuronal-specific enolase levels predict better rate of recovery of functional walking ability in post-acute stroke patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  8. Review
  9. Article
  10. Clinical, Imaging, and Serum Biomarker Predictors of Malignant Cerebral Infarction.Journal of cardiovascular development and disease · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Neuron-Specific Enolase-What Are We Measuring?International journal of molecular sciences · 2024
    Review
  15. Article
  16. 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

11 authors at 4 institutions in 1 country.

Matheus Menão MochettiCurso de Medicina, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, Brazil. matheus.mochetti@usp.br.
Estêvão Garcia Porello SilvaHospital de Base de Bauru, Bauru, Brazil.
Adriana Aparecida Feltrin CorreaHospital de Base de Bauru, Bauru, Brazil.
Marcela Rocha CabetteHospital de Base de Bauru, Bauru, Brazil.
Iago Navas PerissinottiHospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Lucas Oliveira Junqueira E SilvaHospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Adriano de Souza PessoaDepartamento de Ciências Biológicas, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, Brazil.
Rodrigo Cardoso de OliveiraDepartamento de Ciências Biológicas, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, Brazil.
Luiz Fernando Ferraz da SilvaCurso de Medicina, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, Brazil.
Heraldo Possolo de SouzaDisciplina de Emergências Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Júlio César Garcia de AlencarCurso de Medicina, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, Brazil.
Universidade de São Paulo · BRHospital de Base · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2023/04997-1
6 · The paper itself

Abstract

An ideal blood biomarker for stroke should provide reliable results, enable fast diagnosis, and be readily accessible for practical use. Neuron-specific enolase (NSE), an enzyme released after neuronal damage, has been studied as a marker for brain injury, including cerebral infarction. However, different methodologies and limited sample sizes have restricted the applicability of any potential findings. This work aims to determine whether NSE levels at Emergency Department (ED) admission correlate with stroke severity, infarcted brain volume, functional outcome, and/or death rates. A systematic literature review was performed using PubMed, Embase, and Scopus databases. Each reviewer independently assessed all published studies identified as potentially relevant. All relevant original observational studies (cohort, case-control, and cross-sectional studies) were included. Eleven studies (1398 patients) met the inclusion criteria. Among these, six studies reported a significant correlation between NSE levels and stroke severity, while only one found no association. Four studies indicated a positive relationship between infarcted brain volume assessed by imaging and NSE levels, in contrast to the findings of only one study. Four studies identified an association related to functional outcome and death rates, while three others did not reach statistical significance in their findings. These data highlight that NSE levels at ED admissions proved to be a promising tool for predicting the outcome of ischemic stroke patients in most studies. However, they presented high discrepancies and low robustness. Therefore, further research is necessary to establish and define the role of NSE in clinical practice.

Indexed as

Ischemic StrokeStrokeBiomarkersCross-Sectional StudiesHumansInfarctionPhosphopyruvate HydratasePrognosisStroke VolumeBiomarkersENO2 protein, humanPhosphopyruvate Hydratase

Identifiers

PMID38302568
PMCPMC10834412
OpenAlexW4391450351

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.