Diagnostic Competence of Creatine Kinase BB, in Mild Traumatic Brain Injury and its Prognostic Value.

Arash Forouzan, Mohammad Ali Fahimi, Amir Sadegh Iran Bastan, Ali Delirrooyfard
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Abstract

Background: Due to the very high and increasing prevalence, essential complications, and risk factors for psychiatric disorders, it is necessary to introduce screening tests for diagnosing and predicting mild traumatic brain injury (mTBI) prognosis.

Materials and methods: After completing the consent form and recording information and examination findings of patients with mild trauma, venous blood samples were taken from these patients. The samples were measured by observing the cold chain. After 3 months from mTBI, the post concussion symptoms questionnaire (PCSQ) and the short form 36 (SF-36) questionnaire for physical and mental evaluations were performed. Statistical tests analyzed the relationship between different variables and serum Creatine kinase BB (CKBB) levels.

Results: Statistic analyses showed no relation between CKBB level of serum and age, gender, level of consciousness, PCSQ, and SF 36 scale, and the interval between trauma and arrival to the hospital. Further, there is a significant correlation between CK-BB levels and intracranial damage based on Fisher's exact test.

Conclusion: This study and following more significant considerations can introduce a serum-based biomarker panel that can accurately differentiate patients with complicated mTBI from those with uncomplicated.

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肌酸激酶BB在轻度外伤性脑损伤中的诊断能力及其预后价值。
背景:由于精神障碍的发病率非常高且呈上升趋势,其主要并发症和危险因素,有必要引入筛查试验来诊断和预测轻度创伤性脑损伤(mTBI)的预后。材料与方法:对轻度创伤患者填写同意书并记录资料及检查结果后,采集静脉血。通过观察冷链对样品进行测量。mTBI 3个月后,进行脑震荡后症状问卷(PCSQ)和SF-36简短问卷(SF-36)的身心评估。统计检验分析各变量与血清肌酸激酶BB (CKBB)水平的关系。结果:经统计分析,血清CKBB水平与患者的年龄、性别、意识水平、PCSQ、SF 36评分、创伤至入院时间等均无相关性。此外,基于Fisher精确检验,CK-BB水平与颅内损伤有显著相关性。结论:本研究和以下更重要的考虑可以引入一种基于血清的生物标志物面板,可以准确区分合并mTBI患者和非合并mTBI患者。
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