prikaz prve stranice dokumenta Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission
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Scientific paper - Original scientific paper
Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission
Resuscitation, 85 (2014), 2; 233-237. https://doi.org/10.1016/j.resuscitation.2013.10.008
Gornik, Ivan; Wagner, Jasenka; Gašparović, Vladimir; Miličić, Davor; Degoricija, Vesna; Skorić, Boško; Gornik, Olga; Lauc, Gordan

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Gornik, I., Wagner, J., Gašparović, V., Miličić, D., Degoricija, V., Skorić, B. ... Lauc, G. (2014). Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission. Resuscitation, 85. (2), 233-237. doi: 10.1016/j.resuscitation.2013.10.008

Gornik, Ivan, et al. "Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission." Resuscitation, vol. 85, no. 2, 2014, pp. 233-237. https://doi.org/10.1016/j.resuscitation.2013.10.008

Gornik, Ivan, Jasenka Wagner, Vladimir Gašparović, Davor Miličić, Vesna Degoricija, Boško Skorić, Olga Gornik and Gordan Lauc. "Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission." Resuscitation 85, no. 2 (2014): 233-237. https://doi.org/10.1016/j.resuscitation.2013.10.008

Gornik, I., et al. (2014) 'Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission', Resuscitation, 85(2), pp. 233-237. doi: 10.1016/j.resuscitation.2013.10.008

Gornik I, Wagner J, Gašparović V, Miličić D, Degoricija V, Skorić B, and sur.. Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission. Resuscitation [Internet]. 2014 [cited 2024 May 02];85(2):233-237. doi: 10.1016/j.resuscitation.2013.10.008

I. Gornik, et al., "Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission", Resuscitation, vol. 85, no. 2, pp. 233-237, 2014. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:447219. [Accessed: 02 May 2024]

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Metadata
Title (english)Prognostic value of cell-free DNA in plasma of out-of-hospital cardiac arrest survivors at ICU admission and 24h post-admission
AuthorIvan Gornik
AuthorJasenka Wagner
AuthorVladimir Gašparović
AuthorDavor Miličić
AuthorVesna Degoricija
AuthorBoško Skorić
AuthorOlga Gornik
AuthorGordan Lauc
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
Cell-free DNA has been associated with outcome in several acute conditions including two reports concerning the outcomes after cardiac arrest that found association of circulating DNA quantities at admission with mortality. The origins of cell-free DNA are primarily necrosis and apoptosis, which in cardiac arrest occur during ischaemia ("no-flow" and "low-flow" period), during reperfusion injury and as a consequence of post-arrest inflammatory response. Respecting the facts that significant cellular damage may occur during the post-arrest period, and that damage might be reduced by mild therapeutic hypothermia, we investigated the prognostic value of cell free DNA at ICU admission and 24h after admission. A prospective study was conducted in three university associated intensive care units and included patients resuscitated from non-traumatic out-of-hospital cardiac arrest. Patient data were collected in accordance with the Utstein protocol. Therapeutic hypothermia was performed according to ICU policies. Blood for cell-free DNA quantification was sampled at admission and at 24±1h after admission. Outcome measures were hospital morality and cerebral performance expressed with CPC scale at discharge. Inclusion criteria were met in 67 patients; 24-h mortality was 37.3% and hospital mortality was 71.6%. The following variables were associated with 24-h mortality in univariate analysis: asystole as the presenting rhythm, "no-flow" time, "low-flow" time and cell-free DNA at admission (median 0.081 in survivors vs. 0.160ng/μl in non-survivors; P=0.038). Multivariate analysis that included the above variables showed that no-flow time and low-flow time were independently associated with 24-h mortality. Hospital mortality was associated with the following factors: "low flow" time, coronary intervention, cell-free DNA at ICU admission and at 24h after admission (0.042 vs. 0.188ng/μl; P=0.048). ROC curve for cell-free DNA 24h post-admission showed sensitivity of 81.0% and specificity of 78.3% for the cut-off value of 0.115ng/μl. Multivariate analysis showed that "low-flow" time and cell-free DNA at 24h after ICU admission were independently associated with hospital mortality. Cell free DNA showed different dynamics in patients who were and who were not treated with mild therapeutic hypothermia: it decreased in treated patients and slightly increased in non-treated patients. Cell-free DNA quantity at ICU admission and 24h after admission is associated with hospital mortality. Further studies will need to additionally investigate possible practical use of this new laboratory marker in patients resuscitated from cardiac arrest.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionAccepted version
Journal titleResuscitation
Numberingvol. 85, no. 2, pp. 233-237
p-ISSN0300-9572
DOIhttps://doi.org/10.1016/j.resuscitation.2013.10.008
URN:NBNurn:nbn:hr:105:447219
Publication2014
Document URLhttps://doi.org/10.1016/j.resuscitation.2013.10.008
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-27 20:17:29