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The study aimed to evaluate the role of Protein S100B versus the neutrophil-to-lymphocyte ratio (NLR) as an early predictor biomarker and the value of amplitude-integrated electroencephalography (aEEG) as an early predictor and prognostic method for neonatal brain injury susceptibility and severity.
The most prevalent types of newborn brain injury (NBI) are intraventricular haemorrhage (IVH), periventricular leukomalacia (PVL), and hypoxic-ischemic encephalopathy (HIE), which can affect neonates born at any gestational age (GA).
Amplitude-integrated EEG (aEEG) is another early predictor and prognostic technique for Neonatal Brain Injury. Electrophysiological brain activity, as measured by aEEG, is a well-established method for giving information on the functional and metabolic status of the brain and the incidence of epileptic seizure episodes.
S100B belongs to the S100 family. Because it is soluble in a 100% saturated solution of ammonium sulfate, it was designated "S100." S100 protein is a calcium-binding cytosolic protein with a molecular weight of 21 kDa comprised of 2 monomers, which are found in a variety of cells and are primarily concentrated in the glial cells of the CNS. Due to its molecular weight, peripheral blood will detect only S100B.
The neutrophil-to-lymphocyte ratio (NLR) reflects changes in neutrophil and lymphocyte levels, which is an indication of inflammation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Preterm neonates, their gestational age between 28- 36 gestational weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| S100B Protein | Diagnostic Test | Serum level of S100B Protein was measured on the first and third days of seizure activity by ELISA. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Protein S100B | Serum level of S100B Protein was measured on the first and third days of seizure activity by ELISA. | Third day of seizure activity |
| Measure | Description | Time Frame |
|---|---|---|
| Neutrophils/Lymphocytes Ratio | Neutrophils to Lymphocytes ratio was measured on the first and third day of seizure activity obtained by complete blood count. | Third day of seizure activity |
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Inclusion Criteria:
Exclusion Criteria:
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This prospective cross-sectional study will be conducted at the Neonatal Intensive Care Unit (NICU) of the Pediatric Department at Tanta University Hospitals over 3 months, from September 2023 to March 2024.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Tanta | El-Gharbia | 31527 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
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| Neutrophils to Lymphocytes ratio | Diagnostic Test | Neutrophils to Lymphocytes ratio was measured on the first and third day of seizure activity obtained by complete blood count. |
|
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |