Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/57269
Tipo: Artigo de Periódico
Título: Traumatic brain injury biomarkers in pediatric patients: a systematic review
Autor(es): Antônio Lúcio Teixeira
Ana Cristina Simões e Silva
Lucas Alexandre Santos Marzano
Aline Silva de Miranda
Joao Pedro Thimotheo Batista
Marina de Abreu Arruda
Maíra Glória de Freitas Cardoso
João Luís Vieira Monteiro de Barros
Janaína Matos Moreira
Priscila Menezes Ferri Liu
Resumen: Traumatic brain injury (TBI) is the main cause of pediatric trauma death and disability worldwide. Recent studies have sought to identify biomarkers of TBI for the purpose of assessing functional outcomes. The aim of this systematic review was to evaluate the utility of TBI biomarkers in the pediatric population by summarizing recent fndings in the medical literature. A total of 303 articles were retrieved from our search. An initial screening to remove duplicate studies yielded 162 articles. After excluding all articles that did not meet the inclusion criteria, 56 studies were gathered. Among the 56 studies, 36 analyzed serum biomarkers; 11, neuroimaging biomarkers; and 9, cerebrospinal fuid (CSF) biomarkers. Most studies assessed biomarkers in the serum, refecting the feasibility of obtaining blood samples compared to obtaining CSF or performing neuroimaging. S100B was the most studied serum biomarker in TBI, followed by SNE and UCH-L1, whereas in CSF analysis, there was no unanimity. Among the diferent neuroimaging techniques employed, difusion tensor imag ing (DTI) was the most common, seemingly holding diagnostic power in the pediatric TBI clinical setting. The number of cross-sectional studies was similar to the number of longitudinal studies. Our data suggest that S100B measurement has high sensitivity and great promise in diagnosing pediatric TBI, ideally when associated with head CT examination and clinical decision protocols. Further large-scale longitudinal studies addressing TBI biomarkers in children are required to establish more accurate diagnostic protocols and prognostic tools.
Asunto: Lesões Encefálicas Traumáticas
Pediatria
Biomarcadores Farmacológicos
Subunidade beta da Proteína Ligante de Cálcio S100
Neuroimagem
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Institución: UFMG
Departamento: ICB - DEPARTAMENTO DE MORFOLOGIA
MED - DEPARTAMENTO DE PEDIATRIA
Tipo de acceso: Acesso Restrito
Identificador DOI: https://doi.org/10.1007/s10143-021-01588-0
URI: http://hdl.handle.net/1843/57269
Fecha del documento: 2022
metadata.dc.url.externa: https://link.springer.com/article/10.1007/s10143-021-01588-0
metadata.dc.relation.ispartof: Neurosurgical Review
Aparece en las colecciones:Artigo de Periódico

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