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001-es BibID:	BIBFORM106441
035-os BibID:	(WoS)000942361700007 (Scopus)85147234942
Első szerző:	Frendl István (baleseti sebész és kézsebész)
Cím:	Alcohol consumption affects the late endocrine consequences of mild traumatic brain injury / Istvan Frendl, Annamaria Erdei, Noemi Zsiros, Monika Katko, Erika Galgoczi, Zoltan Nemeti, Harjit Pal Bhattoa, Janos Kappelmayer, Janos Posta, Bela Turchanyi, Ferenc Urban, Endre V. Nagy
Dátum:	2022
ISSN:	0172-780X
Megjegyzések:	BACKGROUND: Currently there are no widely applied methods which could identify, at the time of head trauma, those mild traumatic brain injury (mTBI) patients who later develop pituitary dysfunction. The effect of alcohol consumption on post-TBI endocrine dysfunction is unclear. METHODS: Five hundred and eight TBI patients, 406 of them with mTBI, were studied. Sixty-one patients (46 males, 15 females) were available for follow- up. Admission serum samples were evaluated for S100B protein and markers of alcohol consumption: ethanol level for day-of-injury intake and carbohydrate deficient transferrin (CDT) level for regular alcohol consumption. Regular alcohol consumption was defined as CDT > 1.5%, including both social and heavy drinkers. Admission and one-year follow-up samples were evaluated for pituitary dysfunction. RESULTS: Newly developed pituitary hormone deficiency was found in 16% of mTBI patients. When cohorts developing and not developing late pituitary dysfunction were compared, 30% and 69% of patients were regular alcohol consumers, respectively (p = 0.02). Neither S100B level nor day-of-injury alcohol consumption was predictive of late pituitary dysfunction. CONCLUSION: The findings of this preliminary study suggest that regular alcohol consumption may protect against the late endocrine consequences of mTBI. Alcohol intake during the weeks preceding mTBI may identify patients at higher risk for late pituitary dysfunction.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Neuroendocrinology Letters. - 43 : 4 (2022), p. 239-245. -
További szerzők:	Erdei Annamária (1976-) (belgyógyász) Zsíros Noémi (1986-) (belgyógyász) Katkó Mónika (1980-) (biológus) Galgóczi Erika (1986-) (biológus) Németi Zoltán Bhattoa Harjit Pal (1973-) (laboratóriumi szakorvos) Kappelmayer János (1960-) (laboratóriumi szakorvos) Posta János (1964-) (vegyész, toxikológus) Turchányi Béla (1957-) (traumatológus) Urbán Ferenc Nagy Endre V. (1957-) (belgyógyász, endokrinológus)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00005 GINOP
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM070757
Első szerző:	Frendl István (baleseti sebész és kézsebész)
Cím:	Plasminogen Activator Inhibitor Type 1 : a Possible Novel Biomarker of Late Pituitary Dysfunction after Mild Traumatic Brain Injury / Istvan Frendl, Monika Katko, Erika Galgoczi, Judit Boda, Noemi Zsiros, Zoltan Nemeti, Zsuzsanna Bereczky, Renata Hudak, Janos Kappelmayer, Annamaria Erdei, Bela Turchanyi, Endre V. Nagy
Dátum:	2017
ISSN:	0897-7151
Megjegyzések:	More than 80% of head trauma patients suffer from mild traumatic brain injury (mTBI). However, even mTBI carries the risk of late pituitary dysfunction. A predictive biomarker at the time of injury which could identify patients who subsequently may develop permanent pituitary dysfunction would help to direct patients towards endocrine care. We enrolled 508 traumatic brain injury patients (406 with mTBI) into our study. Blood samples were collected for identification of predictive biomarkers of late pituitary dysfunction at the time of admission. Follow-up blood samples were collected between 6 to 12 months after the head trauma and were evaluated for pituitary function. Of the 406 mTBI patients, 76 were available for follow-up. Pre-existing mild pituitary dysfunction was found for 15 patients based on hormone levels at the time of injury. Of the remaining 61 patients, 10 have shown deficiency in at least one pituitary hormone: 4 had growth hormone deficiency, 3 gonadotropin, 2 thyrotropin, and 1 patient combined gonadotropin and thyrotropin deficiency. Hence, newly developed pituitary hormone deficiency was found in 16% of mTBI patients. Neither the cause of mTBI nor its complications were predictive of late pituitary dysfunction. Of the haemostasis parameters studied, lower PAI-1 level at the time of injury was found to be predictive for the development of late pituitary dysfunction; sensitivity, specificity, positive and negative predictive values were 80%, 67%, 32% and 94%, respectively. Even mild TBI carries a substantial risk of endocrine consequences. Serum PAI-1 level at the time of head trauma may serve as predictive biomarker of late pituitary dysfunction in mTBI patients.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Journal Of Neurotrauma. - 34 : 23 (2017), p. 3238-3244. -
További szerzők:	Katkó Mónika (1980-) (biológus) Galgóczi Erika (1986-) (biológus) Boda Judit (belgyógyász, endokrinológus) Zsíros Noémi (1986-) (belgyógyász) Németi Zoltán Bereczky Zsuzsanna (1974-) (orvosi laboratóriumi diagnosztika szakorvos) Hudák Renáta Kappelmayer János (1960-) (laboratóriumi szakorvos) Erdei Annamária (1976-) (belgyógyász) Turchányi Béla (1957-) (traumatológus) Nagy Endre V. (1957-) (belgyógyász, endokrinológus)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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