ICJEM

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

EndNote Style
Index
Original Article
The usefulness of S100ß protein and fractalkin in predicting traumatic brain injury in pediatric patients with minor head trauma
Aims: In this study it was aimed to demonstrate the effectiveness of S100B protein levels which are biomarkers related to central nervous system, and fractalkin levels, which are known to play a role in inflammation processes in prediction trauma induced brain damage. Methods: Patient aged 2 to 18 years who came to the emergency department due to minor head trauma and underwent brain ct were included in our study. It was investigated whether there was a relationship between the two groups, according to the causes of trauma, symptoms at presentation and the level of serum s100b and FCN according to the lesions detected in CCT. Results: The other symptoms including Vomiting, retrograde amnesia, loss of consciousness, confusion, post traumatic amnesia is significantly higher in patients with brain lesions (p<0,05). Patients with lesions on BCT have significantly low Glassgow coma score. (p<0,05). Patients with lesions on BCT have a significantly high S100B and FKN levels. (p<0,05). S100B area under the curve (CUA) 0.700 sensivity is 55%, spesificity is 87.5%. FKN CUA 0,785, sensitivity is 62.5% specifisity is 85%. Conclusions: As a result, the child patients with BCT lesions from minor cranial trauma levels for S100B and FKN levels are significantly higher and can be a criteria for BCT usage in emergency medicine.


1. Thurman DJ. The epidemiology of traumatic brain injury in childrenThurman DJ. The epidemiology of traumatic brain injury in childrenand youths: a review of research since 1990. Journal of child neurology.2016;31(1):20-27.
2. &Ouml;ztan MO, Bolova G, Sayan A, et al. Comparison of Syrian andTurkish patients with trauma who hospitalized in the pediatric surgerydepartment. Cocuk Acil ve Yogun Bakım. 2019;6(1):30.
3. Chang D. Comparison of crash fatalities by sex and age group. NationalCenter for Statistics and Analysis. 2008;July:1-5.
4. Marin JR, Weaver MD, Barnato AE, Yabes JG, Yealy DM, Roberts MS.Variation in emergency department head computed tomography use forpediatric head trauma. Academic Emergency Medicine. 2014;21(9):987-995.
5. Mihindu E, Bhullar I, Tepas J, Kerwin A. Computed tomography ofthe head in children with mild traumatic brain injury. The Americansurgeon. 2014;80(9):841-843.
6. Cassidy JD, Carroll L, Peloso P, et al. Incidence, risk factors andprevention of mild traumatic brain injury: results of the WHOcollaborating centre task force on mild traumatic brain injury. Journalof rehabilitation medicine. 2004;36(0):28-60.
7. Brenner DJ. Estimating cancer risks from pediatric CT: going from thequalitative to the quantitative. Pediatric radiology. 2002;32(4):228-231.
8. Sheppard JP, Nguyen T, Alkhalid Y, Beckett JS, Salamon N, Yang I.Risk of brain tumor induction from pediatric head CT procedures:a systematic literature review. Brain tumor research and treatment.2018;6(1):1-7.
9. Ferrari A, Coccia C, Sternieri E. Past, present, and future prospects ofmedication-overuse headache classification. Headache: The Journal ofHead and Face Pain. 2008;48(7):1096-1102.
10. Shaw GJ, Jauch EC, Zemlan FP. Serum cleaved tau protein levels andclinical outcome in adult patients with closed head injury. Annals of Emergency Medicine. 2002;39(3):254-257.
11. Gao J, Zheng Z. Development of prognostic models for patients withtraumatic brain injury: a systematic review. International journal ofclinical and experimental medicine. 2015;8(11):19881.
12. Ilginel MT, Lafli TD, G&uuml;neş Y. Travmatik beyin hasarındabiyobelirte&ccedil;ler. Anestezi Dergisi. 2018;26(3):105-119.
13. Sirois-Gagnon D, Chamberland A, Perron S, Brisson D, Gaudet D,Laprise C. Association of common polymorphisms in the fractalkinereceptor (CX3CR1) with obesity. Obesity. 2011;19(1):222-227.
14. Sharma R, Laskowitz DT. Biomarkers in traumatic brain injury.Current neurology and neuroscience reports. 2012;12(5):560-569.
15. Thelin EP, Nelson DW, Bellander B-M. A review of the clinical utility ofserum S100B protein levels in the assessment of traumatic brain injury.Acta neurochirurgica. 2017;159(2):209-225.
16. Oris C, Pereira B, Durif J, et al. The biomarker S100B and mildtraumatic brain injury: a meta-analysis. Pediatrics. 2018;141(6).
17. Piazza O, Storti M, Cotena S, et al. S100B is not a reliable prognosticindex in paediatric TBI. Pediatric neurosurgery. 2007;43(4):258-264.
18. Filippidis AS, Papadopoulos DC, Kapsalaki EZ, Fountas KN. Role ofthe S100B serum biomarker in the treatment of children suffering frommild traumatic brain injury. Neurosurgical focus. 2010;29(5):E2.
19. Zanier ER, Marchesi F, Ortolano F, et al. Fractalkine receptordeficiency is associated with early protection but late worsening ofoutcome following brain trauma in mice. Journal of neurotrauma.2016;33(11):1060-1072.
20. Tweedie D, Karnati HK, Mullins R, et al. Time-dependent cytokineand chemokine changes in mouse cerebral cortex following a mildtraumatic brain injury. Elife. 2020;9:e55827.
Volume 1, Issue 4, 2023
Page : 63-66
_Footer