Abstract | OBJECTIVE: Serum ubiquitin C-terminal hydrolase L1 (UCH-L1) has been proposed as a biomarker of traumatic brain injury (TBI). However, previous studies on levels of UCH-L1 in serum remain inconsistent. This systematic review and meta-analysis were conducted on observational studies that reported the association between serum UCH-L1 levels and TBI. METHODS: Studies were identified by searching PubMed and ISI Web of Science up to February 2015. For the continuous outcomes, we calculated the weighted mean difference and 95% confidence interval. The statistical analysis was performed by RevMan 5.1 and Stata 12 software. Only case-control studies were included if they had data on serum UCH-L1 levels in TBI patients and healthy controls. Funnel plot and Egger's regression test were applied to assess the potential publication bias. RESULTS: Of the 145 selected studies, 11 observational studies (including 9 case-control and 2 case-crossover studies) met the selection criteria, containing a total of 1138 TBI cases and 1373 controls. Finally, 5 case-control studies (including 673 TBI and 1004 controls) were eligible for the present meta-analysis. The results of our study showed that there was a significant increase in serum UCH-L1 levels in patients with TBI compared to controls (weighted mean difference, 0.96; 95% confidence interval, 0.31-1.61; P = .004). CONCLUSION: In conclusion, TBI cases had higher serum UCH-L1 concentrations than matched controls. This reinforces the conceptualization of UCH-L1 as a potential biomarker of TBI.
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Authors | Jian Li, Chao Yu, Yang Sun, Yuyuan Li |
Journal | The American journal of emergency medicine
(Am J Emerg Med)
Vol. 33
Issue 9
Pg. 1191-6
(Sep 2015)
ISSN: 1532-8171 [Electronic] United States |
PMID | 26087705
(Publication Type: Journal Article, Meta-Analysis, Research Support, N.I.H., Extramural, Review, Systematic Review)
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Copyright | Copyright © 2015. Published by Elsevier Inc. |
Chemical References |
- Biomarkers
- Ubiquitin Thiolesterase
|
Topics |
- Biomarkers
(blood)
- Brain Injuries
(blood, diagnosis)
- Humans
- Observational Studies as Topic
- Prognosis
- Ubiquitin Thiolesterase
(blood)
|