@article {2324, title = {The Relationship Between Blood Levels of Ubiquitin Carboxyterminal Hydrolase L1 (UCH-L1) Protein and the Severity of Traumatic Brain Injury Based on the Glasgow Coma Scale and Rotterdam CT Score}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {June 2024}, pages = {695-699}, type = {Research Article}, chapter = {695}, abstract = {

Objective: Traumatic brain injury (TBI) is a leading cause of disability and death worldwide, with an estimated 64-74 million cases annually. The current gold standard for diagnosis is a computed tomography (CT) scan, which has limitations such as access, cost, and radiation risk. Therefore, a simple, accessible, and safe diagnostic modality is needed, one of which is biomarker examination. This study aims to establish the relationship between blood levels of the biomarker ubiquitin carboxy-terminal hydrolase-L1 (UCH-L1) and the severity of TBI based on the Glasgow Coma Scale (GCS) and Rotterdam CT score. Material and Methods: This observational analytic study with a cross-sectional design involved 41 samples aged 18-50 years who presented to the Emergency Department of Dr. Soetomo General Hospital, Surabaya, within 3-24 hours of the incident. UCH-L1 levels were measured from blood samples using the ELISA method, and the data on UCH-L1, GCS, and Rotterdam CT scores were analyzed with SPSS 29. Results: The mean UCH-L1 level was 0.522 {\textpm} 0.592, with a cutoff value of \> 0.2057, indicating moderate to severe TBI if UCH-L1 levels exceeded 0.2057. Spearman{\textquoteright}s test and correlation coefficient analysis showed a strong relationship between UCH-L1 levels and Rotterdam CT score (p \< 0.05), as well as between UCH-L1 levels and TBI severity based on GCS (p \< 0.05). The cutoff value for Rotterdam CT score was \> 2, indicating moderate to severe TBI if the score exceeded 2. Conclusion: Serum UCH-L1 levels are significantly associated with the severity of TBI based on GCS and Rotterdam CT score.

}, keywords = {Glasgow Coma Scale, Rotterdam CT score, Traumatic Brain Injury, UCH-L1}, doi = {10.5530/pj.2024.16.111}, author = {Junjungan Kristianto Manurung and Prananda Surya Airlangga and Hamzah Hamzah and Prihatma Kriswidyatomo and Anggraini Dwi Sensusiati and Budi Utomo} } @article {2329, title = {Relationship Between Cerebrospinal Fluid S100B Levels with Glasgow Coma Scale and Rotterdam CT Score in Traumatic Brain Injury Patients}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {June 2024}, pages = {503-508}, type = {Original Article}, chapter = {503}, abstract = {

Background: Traumatic brain injury (TBI) stands as one of the foremost reasons for mortality and incapacitation in young adults on a global scale, accounting for nearly half of all injury-related deaths. The severity of TBI can be assessed using various biomarkers, with the SI00B protein being one of them. While many studies have explored the correlation between serum protein levels and various aspects such as neuroimaging findings, clinical scores, and neuropsychological evaluations, there is a notable lack of research examining the correlation with cerebrospinal fluid (CSF) levels. Methods: The research design of this study was prospective and observational, employing analytic methods for analysis. Fifteen TBI patients who met the inclusion and exclusion criteria and were fitted with ICP monitors comprised the study sample. GCS data used is post-resuscitation GCS. Data on SIOOB protein levels were taken from the examination of CSF samples taken when the ICP monitor was installed. Rotterdam CT score variables was taken from the last CT scan performed before the patient was fitted with an ICP monitor. The statistical analysis was conducted utilizing the SPSS version 26 software. Results: Demographic characteristics for this study tended to be more male (73.3\%), with ages ranging from 18 to 65 years, and a mean age of 34.60 {\textpm} 16.22 years. The majority of injury mechanisms were traffic accidents (80\%), and the most common lesion type was ICH. The mean CSF S 100B value of the 15 samples was 2753.689 pg/ ml. The results of the relationship test between S 100B CSF and GCS using the Spearman test obtained a p-value of less than 0.05, indicating a meaningful correlation between S 100B CSF and GCS, with a correlation coefficient or r value of -0.684. The results of the SIOOB CSF relationship test with Rotterdam CT Score obtained a p-value \<0.05, with a correlation coefficient or r value of 0.827. Conclusion: Increased levels of S100B in cerebrospinal fluid are associated with decreased GCS and increased Rotterdam CT score in traumatic brain injury patients.

}, keywords = {Glasgow Coma Scale, Rotterdam CT score., S100B, Traumatic Brain Injury}, doi = {10.5530/pj.2024.16.81}, author = {Rian Nofiansyah and Kohar Hari Santoso and Prananda Surya Airlangga and Prihatma Kriswidyatomo and Hamzah} }