CC BY-NC-ND 4.0 · Avicenna J Med 2022; 12(03): 148-153
DOI: 10.1055/s-0042-1755389
Original Article

Serum SCUBE-1 Levels and Return of Spontaneous Circulation Following Cardiopulmonary Resuscitation in Adult Patients

Cahit Yılmaz
1   Department of Emergency Medicine, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey
,
2   Department of Emergency Medicine, İstanbul Medipol University, Istanbul, Turkey
,
3   Department of Emergency Medicine, Bezmialem Foundation University, Istanbul, Turkey
,
Dursun Akbay
4   Private Practice, Bezmialem Foundation University, Istanbul, Turkey
,
Özgür Söğüt
5   Department of Emergency Medicine, University of Health Sciences Haseki Training and Research Hospital, Istanbul, Turkey
,
1   Department of Emergency Medicine, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey
,
6   Department of Biochemistry, Bezmialem Foundation University, Istanbul, Turkey
› Author Affiliations
Funding This study was funded by the Bezmialem Vakıf Üniversitesi BAP Koordinasyon Birimi (number:12.2015/16).

Abstract

Background SCUBE 1-has been used as a biomarker for the diagnoses of myocardial infarction, stroke, mesenteric ischemia, and gastric cancer in some recent studies. In this study, we investigated the relationship between serum SCUBE−1 levels and return of spontaneous circulation (ROSC) in patients who received cardiopulmonary resuscitation (CPR).

Methods Patients over 18 years of age who were not pregnant and received CPR were divided into two groups: those who achieved ROSC and those who died. There were 25 patients in each group. SCUBE−1 and other routine biochemical parameters were studied in blood samples taken at the time of admission.

Results There was no significant difference between the age and gender distribution of the patients between the two groups. The SCUBE−1 value of the ROSC group was significantly higher than that of the non-survivor group (p ˂ 0.05). At a cut-off value of 9 ng/mL, SCUBE−1 had a sensitivity of 100%, a positive predictive value of 65.8%, specificity of 48%, and a negative predictive value of 100% in predicting ROSC.

Conclusions The SCUBE−1 values were found to be significantly higher in the ROSC group compared with the non-survivor group.



Publication History

Article published online:
05 September 2022

© 2022. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Navalpotro-Pascual JM, Fernández Pérez C, Peinado Vallejo FA. et al. Caseload and cardiopulmonary arrest management by an out-of-hospital emergency service during the COVID-19 pandemic. Emergencias (Madr) 2021; 33 (02) 100-106
  • 2 Miraglia D, Almanzar C, Rivera E, Alonso W. Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest: a scoping review. J Am Coll Emerg Physicians Open 2021; 2 (01) e12380
  • 3 Zanders R, Druwé P, Van Den Noortgate N, Piers R. The outcome of in- and out-hospital cardiopulmonary arrest in the older population: a scoping review. Eur Geriatr Med 2021; 12 (04) 695-723
  • 4 Gulacti U, Lok U. Influences of “do-not-resuscitate order” prohibition on CPR outcomes. Turk J Emerg Med 2016; 16 (02) 47-52
  • 5 Callaway CW, Donnino MW, Fink EL. et al. Part 8: Post-cardiac arrest care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132 (18, Suppl 2) S465-S482
  • 6 Spinelli G, Brogi E, Sidoti A, Pagnucci N, Forfori F. Assessment of the knowledge level and experience of healthcare personnel concerning CPR and early defibrillation: an internal survey. BMC Cardiovasc Disord 2021; 21 (01) 195
  • 7 Platek AE, Szymanski FM, Filipiak KJ. et al. Prognostic value of troponin I and NT-proBNP concentrations in patients after in-hospital cardiac arrest. Rev Port Cardiol 2015; 34 (04) 255-261
  • 8 Sonmez E, Turkdogan KA, Karabacak M. et al. The diagnostic role of signal peptide-C1r/C1s, Uegf, and Bmp1-epidermal growth factor domain-containing protein 1 in non-ST-elevation acute coronary syndrome. Am J Emerg Med 2015; 33 (01) 21-24
  • 9 Özkan A, Sönmez E, Özdemir S. et al. The diagnostic value of SCUBE1 in unstable angina pectoris patients. Eurasian J Emerg Med. 2016; 15: 167-171
  • 10 Cekic AB, Gonenc Cekic O, Aygun A. et al. The diagnostic value of ischemia-modified albumin (IMA) and signal peptide-CUB-EGF domain-containing protein-1 (SCUBE-1) in an experimental model of strangulated mechanical bowel obstruction. J Invest Surg 2022; 35 (02) 450-456
  • 11 Chan PS, Tang Y. American Heart Association's Get With the Guidelines®‐Resuscitation Investigators. Risk-standardizing rates of return of spontaneous circulation for in-hospital cardiac arrest to facilitate hospital comparisons. J Am Heart Assoc 2020; 9 (07) e014837
  • 12 Özdemir S, Algın A. Interpretation of the area under the receiver operating characteristic curve. Experimental and Applied Medical Science. 2022; 3 (01) 310-311
  • 13 Soar J, Böttiger BW, Carli P. et al. European Resuscitation Council Guidelines 2021: adult advanced life support. Resuscitation 2021; 161: 115-151
  • 14 Tolu Kendir Ö, Barutçu A, Özdemir H, Bent S, Horoz ÖÖ. Knowledge level of healthcare professionals on basic and advanced life support in children. Eurasian J Emerg Med. 2021; 20 (03) 135-142
  • 15 Wallner B, Moroder L, Salchner H. et al. CPR with restricted patient access using alternative rescuer positions: a randomised cross-over manikin study simulating the CPR scenario after avalanche burial. Scand J Trauma Resusc Emerg Med 2021; 29 (01) 129
  • 16 Szymański FM, Grabowski M, Karpiński G, Hrynkiewicz A, Filipiak KJ, Opolski G. Does time delay between the primary cardiac arrest and PCI affect outcome?. Acta Cardiol 2009; 64 (05) 633-637
  • 17 Gülaçtı U, Celik M, Akçay S, Erdoğan MO, Ustün C. Initial results of code blue emergency call system: first experience in Turkey. Anadolu Kardiyol Derg 2014; 14 (05) 486-487
  • 18 Sandroni C, D'Arrigo S, Nolan JP. Prognostication after cardiac arrest. Crit Care 2018; 22 (01) 150
  • 19 Sandroni C, D'Arrigo S, Cacciola S. et al. Prediction of poor neurological outcome in comatose survivors of cardiac arrest: a systematic review. Intensive Care Med 2020; 46 (10) 1803-1851
  • 20 Stammet P. Blood Biomarkers of Hypoxic-Ischemic Brain Injury after Cardiac Arrest. Semin Neurol 2017; 37 (01) 75-80
  • 21 Szymanski FM, Karpinski G, Filipiak KJ. et al. Usefulness of the D-dimer concentration as a predictor of mortality in patients with out-of-hospital cardiac arrest. Am J Cardiol 2013; 112 (04) 467-471
  • 22 Grimmond S, Larder R, Van Hateren N. et al. Cloning, mapping, and expression analysis of a gene encoding a novel mammalian EGF-related protein (SCUBE1). Genomics 2000; 70 (01) 74-81
  • 23 Yang RB, Ng CK, Wasserman SM. et al. Identification of a novel family of cell-surface proteins expressed in human vascular endothelium. J Biol Chem 2002; 277 (48) 46364-46373
  • 24 Özkara T, Yüksel V, Güçlü O. et al. Pericardial SCUBE1 levels may help predict postoperative results in patients operated on for coronary artery bypass graft surgery. Cardiovasc J S Afr 2021; 32 (05) 243-247
  • 25 Tu CF, Yan YT, Wu SY. et al. Domain and functional analysis of a novel platelet-endothelial cell surface protein, SCUBE1. J Biol Chem 2008; 283 (18) 12478-12488
  • 26 Park S, Lee SW, Han KS. et al; Korean Cardiac Arrest Research Consortium (KoCARC) Investigators. Optimal cardiopulmonary resuscitation duration for favorable neurological outcomes after out-of-hospital cardiac arrest. Scand J Trauma Resusc Emerg Med 2022; 30 (01) 5