The increase in copeptin levels in mild head trauma does not predict the severity and the outcome of brain damage

Biomark Med. 2018 Jun;12(6):555-563. doi: 10.2217/bmm-2018-0041. Epub 2018 Apr 5.

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.

Keywords: TBI; biomarker; copeptin; copeptin prognostic value; traumatic brain injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Brain Injuries / blood*
  • Brain Injuries / diagnosis*
  • Emergency Service, Hospital
  • Female
  • Follow-Up Studies
  • Glycopeptides / blood*
  • Humans
  • Male
  • Middle Aged
  • Prognosis

Substances

  • Glycopeptides
  • copeptins