Serum glial fibrillary acidic protein in acute stroke: feasibility to determine stroke-type, timeline and tissue-impact
2024

Using Blood Biomarkers to Differentiate Stroke Types

Sample size: 62 publication 10 minutes Evidence: moderate

Author Information

Author(s): Paul Julien F., Ducroux Célina, Correia Pamela, Daigneault Audrey, Larochelle Catherine, Stapf Christian, Gioia Laura C.

Primary Institution: University of Montreal

Hypothesis

Can serum glial fibrillary acidic protein (GFAP) levels help determine stroke type, timeline, and tissue impact in acute stroke patients?

Conclusion

Serum GFAP levels may help distinguish between intracerebral hemorrhage and acute ischemic stroke and provide insights into the timing and extent of ischemic injury.

Supporting Evidence

  • GFAP levels were significantly higher in patients with intracerebral hemorrhage compared to other diagnoses.
  • GFAP levels increased with longer delays since symptom onset in acute ischemic stroke patients.
  • Blood biomarker acquisition is feasible in the emergency setting for suspected acute stroke.

Takeaway

Doctors can check a blood test to see if a patient has a certain type of stroke and how bad it is, which can help them treat the patient better.

Methodology

Blood samples were collected from patients suspected of having an acute stroke and analyzed for GFAP and NfL levels using a sensitive immunoassay.

Potential Biases

The observational nature and lack of blinding may introduce bias in the results.

Limitations

The study is a single-center pilot with a small sample size, limiting the generalizability of the findings.

Participant Demographics

Mean age was 68.5 years, with 44% female participants.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fneur.2024.1470718

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