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.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -