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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004555naa a2200661 4500
001oai:gup.ub.gu.se/264394
003SwePub
008240528s2017 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/2643942 URI
024a https://doi.org/10.1159/0004818532 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Hov, K. R.4 aut
2451 0a Cerebrospinal Fluid S100B and Alzheimer's Disease Biomarkers in Hip Fracture Patients with Delirium
264 c 2017-11-09
264 1b S. Karger AG,c 2017
520 a Objectives: This study aimed to investigate the relationship between cerebrospinal fluid (CSF) S100B astrocyte-derived protein and delirium and to perform stratified analyses according to clinical and CSF markers of dementia. Methods: We performed a prospective cohort study in a university hospital setting. The participants were patients admitted for hip fracture (n = 98) or for elective surgery (n = 50). Delirium was assessed daily perioperatively in hip fracture patients using the Confusion Assessment Method. A consensus-based diagnosis of prefracture dementia was made using all available information. CSF was drawn at the onset of spinal anesthesia. S100B and phosphorylated tau (P-tau) concentrations were measured using electro-chemiluminescence immunoassay and enzyme-linked immunosorbent assays, respectively. Results: In the hip fracture population (n = 98) there was no significant difference in CSF S100B concentrations between patients with ongoing preoperative (i.e., prevalent) delirium (n = 36, median [interquartile range] 1.11 mu g/L [0.91-1.29]) and patients who never developed delirium (n = 46, 1.08 mu g/L [0.92-1.28], p = 0.92). In patients without preoperative delirium, those who developed delirium postoperatively (i.e., incident delirium) (n = 16, 1.38 mu g/L [1.08-1.62]) had higher concentrations of S100B than the 46 who never did (p = 0.013). This difference was confined to patients with pathological concentrations of P-tau (= 60 ng/L, n = 38). We also found that P-tau and S100B were correlated in CSF in the elective surgery patients. Conclusions: CSF S100B was elevated in patients with incident delirium who also had pathological levels of the Alzheimer disease biomarker P-tau, suggesting vulnerability caused by a preexisting process of astrocytic activation and tau pathology. (c) 2017 The Author(s) Published by S. Karger AG, Basel.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng
653 a Delirium
653 a S100B
653 a Cerebrospinal fluid
653 a Phosphorylated tau
653 a Hip fracture
653 a population-based cohort
653 a cognitive decline
653 a elderly-patients
653 a serum
653 a s100b
653 a dementia
653 a protein
653 a metaanalysis
653 a association
653 a risk
653 a tau
653 a Neurosciences & Neurology
653 a lstein mf
653 a 1975
653 a journal of psychiatric research
653 a v12
653 a p189
700a Bolstad, N.4 aut
700a Idland, A. V.4 aut
700a Zetterberg, Henrik,d 1973u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry4 aut0 (Swepub:gu)xzethe
700a Blennow, Kaj,d 1958u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry4 aut0 (Swepub:gu)xbleka
700a Chaudhry, F. A.4 aut
700a Frihagen, F.4 aut
700a Raeder, J.4 aut
700a Wyller, T. B.4 aut
700a Watne, L. O.4 aut
710a Göteborgs universitetb Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi4 org
773t Dementia and Geriatric Cognitive Disorders Extrad : S. Karger AGg 7:3, s. 374-385q 7:3<374-385x 1664-5464
856u https://www.karger.com/Article/Pdf/481853
8564 8u https://gup.ub.gu.se/publication/264394
8564 8u https://doi.org/10.1159/000481853

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