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成年患者心肺复苏后血清SCUBE-1水平与自主循环恢复情况

Serum SCUBE-1 Levels and Return of Spontaneous Circulation Following Cardiopulmonary Resuscitation in Adult Patients.

作者信息

Yılmaz Cahit, Gülen Bedia, Sönmez Ertan, Akbay Dursun, Söğüt Özgür, Özdemir Serdar, Özer Ömer Faruk

机构信息

Department of Emergency Medicine, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey.

Department of Emergency Medicine, İstanbul Medipol University, Istanbul, Turkey.

出版信息

Avicenna J Med. 2022 Sep 5;12(3):148-153. doi: 10.1055/s-0042-1755389. eCollection 2022 Jul.

Abstract

SCUBE 1-has been used as a biomarker for the diagnoses of myocardial infarction, stroke, mesenteric ischemia, and gastric cancer in some recent studies. In this study, we investigated the relationship between serum SCUBE-1 levels and return of spontaneous circulation (ROSC) in patients who received cardiopulmonary resuscitation (CPR).  Patients over 18 years of age who were not pregnant and received CPR were divided into two groups: those who achieved ROSC and those who died. There were 25 patients in each group. SCUBE-1 and other routine biochemical parameters were studied in blood samples taken at the time of admission.  There was no significant difference between the age and gender distribution of the patients between the two groups. The SCUBE-1 value of the ROSC group was significantly higher than that of the non-survivor group ( ˂ 0.05). At a cut-off value of 9 ng/mL, SCUBE-1 had a sensitivity of 100%, a positive predictive value of 65.8%, specificity of 48%, and a negative predictive value of 100% in predicting ROSC.  The SCUBE-1 values were found to be significantly higher in the ROSC group compared with the non-survivor group.

摘要

在最近的一些研究中,信号肽CUB域EGF样因子1(SCUBE 1)已被用作心肌梗死、中风、肠系膜缺血和胃癌诊断的生物标志物。在本研究中,我们调查了接受心肺复苏(CPR)患者的血清SCUBE-1水平与自主循环恢复(ROSC)之间的关系。

18岁以上非妊娠且接受CPR的患者分为两组:实现ROSC的患者和死亡患者。每组各有25例患者。在入院时采集的血样中研究了SCUBE-1和其他常规生化参数。

两组患者的年龄和性别分布无显著差异。ROSC组的SCUBE-1值显著高于非存活组( ˂ 0.05)。在预测ROSC时,SCUBE-1在截断值为9 ng/mL时,敏感性为l00%,阳性预测值为65.8%,特异性为48%,阴性预测值为100%。

结果发现,ROSC组的SCUBE-1值显著高于非存活组。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/164e/9458353/aa65f4381ed3/10-1055-s-0042-1755389-i220060-1.jpg

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