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Castello LM, Salmi L, Zanotti I, Gardino CA, Baldrighi M, Settanni F, Avanzi GC. The increase in copeptin levels in mild head trauma does not predict the severity and the outcome of brain damage. Biomark Med 2018; 12:555-563. [DOI: 10.2217/bmm-2018-0041] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: To investigate the copeptin prognostic role in mild head trauma. Methods: We enrolled 105 adult patients who entered the emergency room because of recent mild head trauma; we evaluated: clinical picture, imaging and laboratory data (including copeptin). Results: Copeptin resulted higher in mild head trauma patients compared with controls: 29.89 pmol/l versus 7.05 pmol/l (p = 0.0008). Copeptin failed in identifying patients with or without brain lesions detected by CT scan, and patients with or without adverse events during the 30 days follow-up. Conclusion: We confirmed that mild head trauma patients have a significantly higher copeptin plasma levels compared with controls. Nevertheless, we did not observe a significant role for copeptin in traumatic brain injury patients regarding brain damage and outcome.
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Affiliation(s)
- Luigi M Castello
- Department of Translational Medicine, Università del Piemonte Orientale UPO, via Solaroli, 17. 28100 – Novara, Italy
- AOU Maggiore della Carità, Corso Mazzini, 18. 28100 – Novara, Italy
| | - Livia Salmi
- Department of Translational Medicine, Università del Piemonte Orientale UPO, via Solaroli, 17. 28100 – Novara, Italy
| | - Isabella Zanotti
- AOU Maggiore della Carità, Corso Mazzini, 18. 28100 – Novara, Italy
| | - Clara A Gardino
- Department of Translational Medicine, Università del Piemonte Orientale UPO, via Solaroli, 17. 28100 – Novara, Italy
| | - Marco Baldrighi
- Department of Translational Medicine, Università del Piemonte Orientale UPO, via Solaroli, 17. 28100 – Novara, Italy
| | - Fabio Settanni
- Division of Endocrinology, Diabetology & Metabolism, Department of Medical Sciences, Università di Torino, Corso AM Dogliotti, 14. 10126 – Torino, Italy
| | - Gian C Avanzi
- Department of Translational Medicine, Università del Piemonte Orientale UPO, via Solaroli, 17. 28100 – Novara, Italy
- AOU Maggiore della Carità, Corso Mazzini, 18. 28100 – Novara, Italy
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