Serum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest: a meta-analysis
Abstract Objective Recently, an increasing number of studies have suggested using serum neurofilament light (NfL) chain to predict the neurologic outcome after cardiac arrest. However, the predictive ability of this approach remains inconclusive. Meta-analysis was performed on related studies to ass...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-023-03220-z |
| _version_ | 1797846095360950272 |
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| author | Shu Li Wang Nan Li Shun Yi Feng Yong Li |
| author_facet | Shu Li Wang Nan Li Shun Yi Feng Yong Li |
| author_sort | Shu Li Wang |
| collection | DOAJ |
| description | Abstract Objective Recently, an increasing number of studies have suggested using serum neurofilament light (NfL) chain to predict the neurologic outcome after cardiac arrest. However, the predictive ability of this approach remains inconclusive. Meta-analysis was performed on related studies to assess the ability of serum NfL to predict the neurologic outcome after cardiac arrest. Materials and methods PubMed, ScienceDirect and Embase were systematically searched from the date of their inception until June 2022. Data were extracted to calculate the area under the receiver operating characteristic curve (AUC), the sensitivity, the specificity and the publication bias to evaluate the predictive power of serum NfL using Stata 14.0. Results Nine studies were included in the present meta-analysis. Seven studies involving 1296 participants reported serum NfL 24 h post arrest for predicting the neurological outcome, and the AUC was 0.92 (77% sensitivity and 96% specificity). Seven studies involving 1020 participants reported serum NfL 48 h post arrest for predicting the neurological outcome, and the AUC was 0.94 (78% sensitivity and 98% specificity). Four studies involving 804 participants reported serum NfL 72 h post arrest for predicting the neurological outcome, and the AUC was 0.96 (90% sensitivity and 98% specificity). No significant publication bias was observed among the included studies. Conclusion The present meta-analysis results support the potential use of serum NfL as an early biomarker of neurologic outcome, especially 72 h post arrest. |
| first_indexed | 2024-04-09T17:50:34Z |
| format | Article |
| id | doaj.art-8e25450eb32044f496f46d4583751d61 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-09T17:50:34Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-8e25450eb32044f496f46d4583751d612023-04-16T11:06:21ZengBMCBMC Cardiovascular Disorders1471-22612023-04-012311810.1186/s12872-023-03220-zSerum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest: a meta-analysisShu Li Wang0Nan Li1Shun Yi Feng2Yong Li3Emergency Deparment, Cangzhou Central HospitalEmergency Deparment, Cangzhou Central HospitalEmergency Deparment, Cangzhou Central HospitalEmergency Deparment, Cangzhou Central HospitalAbstract Objective Recently, an increasing number of studies have suggested using serum neurofilament light (NfL) chain to predict the neurologic outcome after cardiac arrest. However, the predictive ability of this approach remains inconclusive. Meta-analysis was performed on related studies to assess the ability of serum NfL to predict the neurologic outcome after cardiac arrest. Materials and methods PubMed, ScienceDirect and Embase were systematically searched from the date of their inception until June 2022. Data were extracted to calculate the area under the receiver operating characteristic curve (AUC), the sensitivity, the specificity and the publication bias to evaluate the predictive power of serum NfL using Stata 14.0. Results Nine studies were included in the present meta-analysis. Seven studies involving 1296 participants reported serum NfL 24 h post arrest for predicting the neurological outcome, and the AUC was 0.92 (77% sensitivity and 96% specificity). Seven studies involving 1020 participants reported serum NfL 48 h post arrest for predicting the neurological outcome, and the AUC was 0.94 (78% sensitivity and 98% specificity). Four studies involving 804 participants reported serum NfL 72 h post arrest for predicting the neurological outcome, and the AUC was 0.96 (90% sensitivity and 98% specificity). No significant publication bias was observed among the included studies. Conclusion The present meta-analysis results support the potential use of serum NfL as an early biomarker of neurologic outcome, especially 72 h post arrest.https://doi.org/10.1186/s12872-023-03220-zCardiac arrestCardiopulmonary resuscitationBrain injuryNeurofilament light |
| spellingShingle | Shu Li Wang Nan Li Shun Yi Feng Yong Li Serum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest: a meta-analysis BMC Cardiovascular Disorders Cardiac arrest Cardiopulmonary resuscitation Brain injury Neurofilament light |
| title | Serum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest: a meta-analysis |
| title_full | Serum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest: a meta-analysis |
| title_fullStr | Serum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest: a meta-analysis |
| title_full_unstemmed | Serum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest: a meta-analysis |
| title_short | Serum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest: a meta-analysis |
| title_sort | serum neurofilament light chain as a predictive marker of neurologic outcome after cardiac arrest a meta analysis |
| topic | Cardiac arrest Cardiopulmonary resuscitation Brain injury Neurofilament light |
| url | https://doi.org/10.1186/s12872-023-03220-z |
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