Early prediction of long-term cognitive impairment after cardiac arrest.

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Early prediction of long-term cognitive impairment after cardiac arrest. / Prohl, Jörn; Bodenburg, Sebastian; Rustenbach, Stephan Jeff.

In: J INT NEUROPSYCH SOC, Vol. 15, No. 3, 3, 2009, p. 344-353.

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@article{78a899656ac647b7a9e93d75e0ba500b,
title = "Early prediction of long-term cognitive impairment after cardiac arrest.",
abstract = "This prospective study evaluated the prognostic value of early neurobiochemical markers, neuron-specific enolase and astroglial protein S-100B, for long-term cognitive outcome after cardiac arrest. Six months after admission of a cohort of 80 consecutive patients, 26 survivors were able to undergo a neuropsychological test battery. Survivors showed low test performances in attention, learning/memory, and executive functioning. Neuropsychological bedside screening during the first month significantly differentiated between patients with and without long-term cognitive impairment. The neurobiochemical marker S-100B at day 3 after admission was found to predict significant proportions of variance in specific cognitive domains (learning/memory and executive functioning). The results indicate that early neuropsychological assessment might help identify patients who run at risk of long-term neuropsychological dysfunction. This study also suggests that especially the protein S-100B provides valuable information on long-term cognitive outcomes. To understand the exact relationship, results have to be replicated in larger trials.",
keywords = "Adult, Humans, Male, Aged, Female, Middle Aged, Neuropsychological Tests, Cohort Studies, Regression Analysis, Predictive Value of Tests, Time Factors, ROC Curve, Retrospective Studies, Analysis of Variance, Mental Status Schedule, Learning/physiology, Visual Perception/physiology, Attention/physiology, Phosphopyruvate Hydratase/blood, Cognition Disorders/*diagnosis/*etiology/metabolism, Heart Arrest/*complications/metabolism, Motor Skills/physiology, Nerve Growth Factors/blood, Problem Solving/physiology, S100 Proteins/blood, Adult, Humans, Male, Aged, Female, Middle Aged, Neuropsychological Tests, Cohort Studies, Regression Analysis, Predictive Value of Tests, Time Factors, ROC Curve, Retrospective Studies, Analysis of Variance, Mental Status Schedule, Learning/physiology, Visual Perception/physiology, Attention/physiology, Phosphopyruvate Hydratase/blood, Cognition Disorders/*diagnosis/*etiology/metabolism, Heart Arrest/*complications/metabolism, Motor Skills/physiology, Nerve Growth Factors/blood, Problem Solving/physiology, S100 Proteins/blood",
author = "J{\"o}rn Prohl and Sebastian Bodenburg and Rustenbach, {Stephan Jeff}",
year = "2009",
language = "English",
volume = "15",
pages = "344--353",
journal = "J INT NEUROPSYCH SOC",
issn = "1355-6177",
publisher = "Cambridge University Press",
number = "3",

}

RIS

TY - JOUR

T1 - Early prediction of long-term cognitive impairment after cardiac arrest.

AU - Prohl, Jörn

AU - Bodenburg, Sebastian

AU - Rustenbach, Stephan Jeff

PY - 2009

Y1 - 2009

N2 - This prospective study evaluated the prognostic value of early neurobiochemical markers, neuron-specific enolase and astroglial protein S-100B, for long-term cognitive outcome after cardiac arrest. Six months after admission of a cohort of 80 consecutive patients, 26 survivors were able to undergo a neuropsychological test battery. Survivors showed low test performances in attention, learning/memory, and executive functioning. Neuropsychological bedside screening during the first month significantly differentiated between patients with and without long-term cognitive impairment. The neurobiochemical marker S-100B at day 3 after admission was found to predict significant proportions of variance in specific cognitive domains (learning/memory and executive functioning). The results indicate that early neuropsychological assessment might help identify patients who run at risk of long-term neuropsychological dysfunction. This study also suggests that especially the protein S-100B provides valuable information on long-term cognitive outcomes. To understand the exact relationship, results have to be replicated in larger trials.

AB - This prospective study evaluated the prognostic value of early neurobiochemical markers, neuron-specific enolase and astroglial protein S-100B, for long-term cognitive outcome after cardiac arrest. Six months after admission of a cohort of 80 consecutive patients, 26 survivors were able to undergo a neuropsychological test battery. Survivors showed low test performances in attention, learning/memory, and executive functioning. Neuropsychological bedside screening during the first month significantly differentiated between patients with and without long-term cognitive impairment. The neurobiochemical marker S-100B at day 3 after admission was found to predict significant proportions of variance in specific cognitive domains (learning/memory and executive functioning). The results indicate that early neuropsychological assessment might help identify patients who run at risk of long-term neuropsychological dysfunction. This study also suggests that especially the protein S-100B provides valuable information on long-term cognitive outcomes. To understand the exact relationship, results have to be replicated in larger trials.

KW - Adult

KW - Humans

KW - Male

KW - Aged

KW - Female

KW - Middle Aged

KW - Neuropsychological Tests

KW - Cohort Studies

KW - Regression Analysis

KW - Predictive Value of Tests

KW - Time Factors

KW - ROC Curve

KW - Retrospective Studies

KW - Analysis of Variance

KW - Mental Status Schedule

KW - Learning/physiology

KW - Visual Perception/physiology

KW - Attention/physiology

KW - Phosphopyruvate Hydratase/blood

KW - Cognition Disorders/diagnosis/etiology/metabolism

KW - Heart Arrest/complications/metabolism

KW - Motor Skills/physiology

KW - Nerve Growth Factors/blood

KW - Problem Solving/physiology

KW - S100 Proteins/blood

KW - Adult

KW - Humans

KW - Male

KW - Aged

KW - Female

KW - Middle Aged

KW - Neuropsychological Tests

KW - Cohort Studies

KW - Regression Analysis

KW - Predictive Value of Tests

KW - Time Factors

KW - ROC Curve

KW - Retrospective Studies

KW - Analysis of Variance

KW - Mental Status Schedule

KW - Learning/physiology

KW - Visual Perception/physiology

KW - Attention/physiology

KW - Phosphopyruvate Hydratase/blood

KW - Cognition Disorders/diagnosis/etiology/metabolism

KW - Heart Arrest/complications/metabolism

KW - Motor Skills/physiology

KW - Nerve Growth Factors/blood

KW - Problem Solving/physiology

KW - S100 Proteins/blood

M3 - SCORING: Journal article

VL - 15

SP - 344

EP - 353

JO - J INT NEUROPSYCH SOC

JF - J INT NEUROPSYCH SOC

SN - 1355-6177

IS - 3

M1 - 3

ER -