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Serum fibroblast growth factor 21 levels after out of hospital cardiac arrest are associated with neurological outcome.


ABSTRACT: Fibroblast growth factor (FGF) 21 is a marker associated with mitochondrial and cellular stress. Cardiac arrest causes mitochondrial stress, and we tested if FGF 21 would reflect the severity of hypoxia-reperfusion injury after cardiac arrest. We measured serum concentrations of FGF 21 in 112 patients on ICU admission and 24, 48 and 72 h after out-of-hospital cardiac arrest with shockable initial rhythm included in the COMACARE study (NCT02698917). All patients received targeted temperature management for 24 h. We defined 6-month cerebral performance category 1-2 as good and 3-5 as poor neurological outcome. We used samples from 40 non-critically ill emergency room patients as controls. We assessed group differences with the Mann Whitney U test and temporal differences with linear modeling with restricted maximum likelihood estimation. We used multivariate logistic regression to assess the independent predictive value of FGF 21 concentration for neurologic outcome. The median (inter-quartile range, IQR) FGF 21 concentration was 0.25 (0.094-0.91) ng/ml in controls, 0.79 (0.37-1.6) ng/ml in patients at ICU admission (P?

SUBMITTER: Pekkarinen PT 

PROVIDER: S-EPMC7804444 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Serum fibroblast growth factor 21 levels after out of hospital cardiac arrest are associated with neurological outcome.

Pekkarinen Pirkka T PT   Skrifvars Markus B MB   Lievonen Ville V   Jakkula Pekka P   Albrecht Laura L   Loisa Pekka P   Tiainen Marjaana M   Pettilä Ville V   Reinikainen Matti M   Hästbacka Johanna J  

Scientific reports 20210112 1


Fibroblast growth factor (FGF) 21 is a marker associated with mitochondrial and cellular stress. Cardiac arrest causes mitochondrial stress, and we tested if FGF 21 would reflect the severity of hypoxia-reperfusion injury after cardiac arrest. We measured serum concentrations of FGF 21 in 112 patients on ICU admission and 24, 48 and 72 h after out-of-hospital cardiac arrest with shockable initial rhythm included in the COMACARE study (NCT02698917). All patients received targeted temperature mana  ...[more]

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