Yıl: 2012 Cilt: 42 Sayı: 6 Sayfa Aralığı: 1010 - 1019 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Early oxidative status in adult patients with isolated traumatic brain injury

Öz:
Aim: To investigate oxidative and antioxidative status, as well as the Glasgow Coma Scale (GCS) and Revised Trauma Score (RTS), reflecting injury severity and neurological outcome during the early posttraumatic period in patients with isolated traumatic brain injury (TBI). Materials and methods: Fift y-one adult patients with TBI and 45 eligible healthy volunteers as control subjects were enrolled. Plasma total oxidant status (TOS), total antioxidant status (TAS), and the oxidative stress index (OSI) were calculated as biomarkers of early oxidative changes in serum using a novel automated method. Results: TOS levels and OSI values were significantly higher in nonsurvivors compared with those in survivors. However, there was no significant difference in TAS levels between survivors and nonsurvivors. GCS and RTS showed negative correlations with TOS levels, but neither was significantly related to OSI levels. Furthermore, GCS scores were negatively correlated with TAS levels, whereas RTS scores were not signifi cantly related to TAS levels. Conclusion: Patients with isolated TBI are exposed to potent oxidative stress. TOS, as an early oxidative stress biomarker, might reflect the severity of cerebral insult in those patients.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Crooks CY, Zumsteg JM, Bell KR. Traumatic brain injury: a review of practice management and recent advances. Phys Med Rehabil Clin N Am 2007; 18: 681–710.
  • 2. Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol 2008; 7: 728–41.
  • 3. Parikh S, Koch M, Narayan RK. Traumatic brain injury. Int Anesthesiol Clin 2007; 45: 119–35.
  • 4. Saatman KE, Duhaime AC, Bullock R, Maas AI, Valadka A, Manley GT et al. Classifi cation of traumatic brain injury for targeted therapies. J Neurotrauma 2008; 25: 719–38.
  • 5. Toklu HZ, Hakan T, Biber N, Solakoğlu S, Öğünç AV, Şener G. The protective effect of alpha lipoic acid against traumatic brain injury in rats. Free Radical Research 2009; 43: 658–67.
  • 6. Shao C, Roberts KN, Markesbery WR, Scheff SW, Lovell MA. Oxidative stress in head trauma in aging. Free Radic Biol Med 2006; 41: 77–85.
  • 7. Vagnozzi R, Tavazzi B, Di Pierro D, Giardina B, Fraioli B, Signoretti S et al. Eff ects of increasing times of incomplete cerebral ischemia upon the energy state and lipid peroxidation in the rat. Exp Brain Res 1997; 117: 411–8.
  • 8. Tavazzi B, Signoretti S, Lazzarino G, Amorini AM, Delfi ni R, Cimatti M et al. Cerebral oxidative stress and depression of energy metabolism correlate with severity of diffuse brain injury in rats. Neurosurgery 2005; 56: 582–9.
  • 9. Roth E, Mahart N, Wessner B. Assessing the antioxidative status in critically ill patients. Curr Opin Clin Nutr Metab Care 2004; 7: 161–8.
  • 10. Nayak C, Nayak D, Bhat S, Raja A, Rao A. Relationship between neurological outcome and early oxidative changes in erythrocytes in head injury patients. Clin Chem Lab Med 2007; 45: 629–33.
  • 11. Nayak CD, Nayak DM, Raja A, Rao A. Erythrocyte indicators of oxidative changes in patients with graded traumatic head injury. Neurol India 2008; 56: 31–5.
  • 12. Hohl A, Gullo JD, Silva CC, Bertotti MM, Felisberto F, Nunes JC et al. Plasma levels of oxidative stress biomarkers and hospital mortality in severe head injury: a multivariate ana lysis. J Crit Care 2011; doi:10.1016/j.jcrc.2011.06.007.
  • 13. Erel O. A new automated colorimetric method for measuring total oxidant status. Clin Biochem 2005; 38: 1103–11.
  • 14. Erel O. A novel automated method to measure total antioxidant response against potent free radical reactions. Clin Biochem 2004; 37: 112–9.
  • 15. Rutland-Brown W, Langlois JA, Thomas KE, Xi YL. Incidence of traumatic brain injury in the United States, 2003. J Head Trauma Rehabil 2006; 21: 544–8.
  • 16. Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil 2006; 21: 375–8.
  • 17. Kondo Y, Abe T, Kohshi K, Tokuda Y, Cook EF, Kukita I. Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, age and systolic blood pressure score. Crit Care 2011; 15: R191.
  • 18. Lee YB, Kwon SJ. A more detailed classifi cation of mild head injury in adults and treatment guidelines. J Korean Neurosurg Soc 2009; 46: 451–8.
  • 19. Shukla D, Devi BI. Mild traumatic brain injuries in adults. J Neurosci Rural Pract 2010; 1: 82–8.
  • 20. Narayan RK, Michel ME, Ansell B, Baethmann A, Biegon A, Bracken MB et al. Clinical trials in head injury. J Neurotrauma 2002; 19: 503–57.
  • 21. Cassidy JD, Carroll LJ, Peloso PM, Borg J, von Holst H, Holm L et al. Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med 2004; 43: 28–60.
  • 22. Sogut O, Guloglu C, Orak M, Sayhan MB, Gokdemir MT, Ustundag M et al. Trauma scores and neuron-specific enolase, cytokine and C-reactive protein levels as predictors of mortality in patients with blunt head trauma. J Int Med Res 2010; 38: 1708–20.
  • 23. Rutland-Brown W, Langlois JA, Thomas KE, Xi YL. Incidence of traumatic brain injury in the United States, 2003. J Head Trauma Rehabil 2006; 21: 544–8.
  • 24. Centers for Disease Control and Prevention. Rates of hospitalization related to traumatic brain injury--nine states, 2003. MMWR Morb Mortal Wkly Rep 2007; 56: 167–70.
  • 25. Aslan M, Sabuncu T, Kocyigit A, Celik H, Selek S. Relationship between total oxidant status and severity of diabetic nephropathy in type 2 diabetic patients. Nutr Metab Cardiovasc Dis 2007; 17: 734–40.
  • 26. Emecen Ö, Berçik İnal B, Erdenen F, Usta M, Aral H, Güvenen G. Evaluation of oxidant/antioxidant status and ECP levels in asthma. Turk J Med Sci 2010; 40: 889–95.
  • 27. Selek S, Cosar N, Kocyigit A, Erel O, Aksoy N, Gencer M et al. PON1 activity and total oxidant status in patients with active pulmonary tuberculosis. Clin Biochem 2008; 41: 140–4.
  • 28. Özaydın M. Postoperative atrial fibrillation, oxidative stress, and inflammation. Turk J Med Sci 2011; 41: 755–9.
  • 29. Facchinetti F, Dawson VL, Dawson TM. Free radicals as mediators of neuronal injury. Cell Mol Neurobiol 1998; 18: 667–82.
  • 30. Lemineur T, Deby-Dupont G, Preiser JC. Biomarkers of oxidative stress in critically ill patients: what should be measured, when and how? Curr Opin Clin Nutr Metab Care 2006; 9: 704–10.
  • 31. Matés JM. Effects of antioxidant enzymes in the molecular control of reactive oxygen species toxicology. Toxicology 2000; 153: 83–104.
  • 32. Rael LT, Bar-Or R, Aumann RM, Slone DS, Mains CW, Bar- Or D. Oxidation-reduction potential and paraoxonasearylesterase activity in trauma patients. Biochem Biophys Res Commun 2007; 361: 561–5.
  • 33. Eghwrudjakpor PO, Allison AB. Oxidative stress following traumatic brain injury: enhancement of endogenous antioxidant defense systems and the promise of improved outcome. Niger J Med 2010; 19: 14–21.
  • 34. Ross D. Glutathione, free radicals and chemotherapeutic agents. Pharmacol Th er 1998; 37: 231–49.
  • 35. Beit-Yannai E, Kohen R, Horowitz M, Trembovler V, Shohami E. Changes of biological reducing activity in rat brain following closed head injury: a cyclic voltammetry study in normal and heat acclimated rats. J Cereb Blood Flow Metab 1997; 17: 273– 9.
APA SÖĞÜT O, Kaya H, Gökdemir M, SOLDUK L, DOKUZOĞLU M, Sayhan M, KAYA A, KOÇYİĞİT A (2012). Early oxidative status in adult patients with isolated traumatic brain injury. , 1010 - 1019.
Chicago SÖĞÜT Ozgur,Kaya Halil,Gökdemir Mehmet Tahir,SOLDUK Leyla,DOKUZOĞLU Mehmet Akif,Sayhan Mustafa Burak,KAYA Atılhan,KOÇYİĞİT ABDÜRRAHİM Early oxidative status in adult patients with isolated traumatic brain injury. (2012): 1010 - 1019.
MLA SÖĞÜT Ozgur,Kaya Halil,Gökdemir Mehmet Tahir,SOLDUK Leyla,DOKUZOĞLU Mehmet Akif,Sayhan Mustafa Burak,KAYA Atılhan,KOÇYİĞİT ABDÜRRAHİM Early oxidative status in adult patients with isolated traumatic brain injury. , 2012, ss.1010 - 1019.
AMA SÖĞÜT O,Kaya H,Gökdemir M,SOLDUK L,DOKUZOĞLU M,Sayhan M,KAYA A,KOÇYİĞİT A Early oxidative status in adult patients with isolated traumatic brain injury. . 2012; 1010 - 1019.
Vancouver SÖĞÜT O,Kaya H,Gökdemir M,SOLDUK L,DOKUZOĞLU M,Sayhan M,KAYA A,KOÇYİĞİT A Early oxidative status in adult patients with isolated traumatic brain injury. . 2012; 1010 - 1019.
IEEE SÖĞÜT O,Kaya H,Gökdemir M,SOLDUK L,DOKUZOĞLU M,Sayhan M,KAYA A,KOÇYİĞİT A "Early oxidative status in adult patients with isolated traumatic brain injury." , ss.1010 - 1019, 2012.
ISNAD SÖĞÜT, Ozgur vd. "Early oxidative status in adult patients with isolated traumatic brain injury". (2012), 1010-1019.
APA SÖĞÜT O, Kaya H, Gökdemir M, SOLDUK L, DOKUZOĞLU M, Sayhan M, KAYA A, KOÇYİĞİT A (2012). Early oxidative status in adult patients with isolated traumatic brain injury. Turkish Journal of Medical Sciences, 42(6), 1010 - 1019.
Chicago SÖĞÜT Ozgur,Kaya Halil,Gökdemir Mehmet Tahir,SOLDUK Leyla,DOKUZOĞLU Mehmet Akif,Sayhan Mustafa Burak,KAYA Atılhan,KOÇYİĞİT ABDÜRRAHİM Early oxidative status in adult patients with isolated traumatic brain injury. Turkish Journal of Medical Sciences 42, no.6 (2012): 1010 - 1019.
MLA SÖĞÜT Ozgur,Kaya Halil,Gökdemir Mehmet Tahir,SOLDUK Leyla,DOKUZOĞLU Mehmet Akif,Sayhan Mustafa Burak,KAYA Atılhan,KOÇYİĞİT ABDÜRRAHİM Early oxidative status in adult patients with isolated traumatic brain injury. Turkish Journal of Medical Sciences, vol.42, no.6, 2012, ss.1010 - 1019.
AMA SÖĞÜT O,Kaya H,Gökdemir M,SOLDUK L,DOKUZOĞLU M,Sayhan M,KAYA A,KOÇYİĞİT A Early oxidative status in adult patients with isolated traumatic brain injury. Turkish Journal of Medical Sciences. 2012; 42(6): 1010 - 1019.
Vancouver SÖĞÜT O,Kaya H,Gökdemir M,SOLDUK L,DOKUZOĞLU M,Sayhan M,KAYA A,KOÇYİĞİT A Early oxidative status in adult patients with isolated traumatic brain injury. Turkish Journal of Medical Sciences. 2012; 42(6): 1010 - 1019.
IEEE SÖĞÜT O,Kaya H,Gökdemir M,SOLDUK L,DOKUZOĞLU M,Sayhan M,KAYA A,KOÇYİĞİT A "Early oxidative status in adult patients with isolated traumatic brain injury." Turkish Journal of Medical Sciences, 42, ss.1010 - 1019, 2012.
ISNAD SÖĞÜT, Ozgur vd. "Early oxidative status in adult patients with isolated traumatic brain injury". Turkish Journal of Medical Sciences 42/6 (2012), 1010-1019.