Serum tau fragments as predictors of death or poor neurological outcome after out-of-hospital cardiac arrest

Research output: Contribution to journalArticle

Abstract

Background: Anoxic brain injury is the primary cause of death after resuscitation from out-of-hospital cardiac arrest (OHCA) and prognostication is challenging. The aim of this study was to evaluate the potential of two fragments of tau as serum biomarkers for neurological outcome. Methods: Single-center sub-study of 171 patients included in the Target Temperature Management (TTM) Trial randomly assigned to TTM at 33 °C or TTM at 36 °C for 24 h after OHCA. Fragments (tau-A and tau-C) of the neuronal protein tau were measured in serum 24, 48 and 72 h after OHCA. The primary endpoint was neurological outcome. Results: Median (quartile 1–quartile 3) tau-A (ng/ml) values were 58 (43–71) versus 51 (43–67), 72 (57–84) versus 71 (59–82) and 76 (61–92) versus 75 (64–89) for good versus unfavourable outcome at 24, 48 and 72 h, respectively (pgroup = 0.95). Median tau C (ng/ml) values were 38 (29–50) versus 36 (29–49), 49 (38–58) versus 48 (33–59) and 48 (39–59) versus 48 (36–62) (pgroup = 0.95). Tau-A and tau-C did not predict neurological outcome (area under the receiver-operating curve at 48 h; tau-A: 0.51 and tau-C: 0.51). Conclusions: Serum levels of tau fragments were unable to predict neurological outcome after OHCA.

Details

Authors
Organisations
External organisations
  • Copenhagen University Hospital
  • Helsingborg Hospital
  • Nordic Bioscience AS
  • Skåne University Hospital
  • Sahlgrenska University Hospital
  • University College London
  • University of Gothenburg
  • Sanos Clinic
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Neurology

Keywords

  • neurological outcome, out-of-hospital cardiac arrest, prognosis, Serum biomarkers, tau fragments
Original languageEnglish
Pages (from-to)584-591
JournalBiomarkers
Volume24
Issue number6
Early online date2019 May 31
Publication statusPublished - 2019
Publication categoryResearch
Peer-reviewedYes