Cardiac arrest & resuscitation

Neurofilament light chain evaluated with a new automated commercially available method for outcome prediction in out-of-hospital cardiac arrest patients

ResuscitationPublished Post-hoc analysis of the COMACARE trial

Primary result · AUROC for poor outcome (CPC 3-5)Result — go to the resultDifference in AUROC −0.008-0.001

Authors' conclusion

The Atellica NfL assay accuracy appears well comparable to that obtained using the more laborious Simoa method.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) patients in the COMACARE trial, samples collected 2016–2017
Participants
112 patients
Comparison
Siemens Atellica Neurofilament Light (NfL) vs Quanterix Simoa NF-Light
Primary endpoint
Prognostic accuracy (AUROC) of plasma NfL measured at 24–72 h for poor outcome (Cerebral Performance Category (CPC) 3-5)
Follow-up
Six months after OHCA
Methodological detailsdiagnostic/prognostic accuracy, method comparison
  • Diagnostic/prognostic accuracy
  • Method comparison

Primary result

AUROC for poor outcome (CPC 3-5)

Difference in AUROC

−0.008-0.001

By group

Atellica NfL

0.97-0.98

AUROC

As reported in the abstract

Further findings

Atellica NfL cut-offs for poor outcome with 99 % specificity (tentative, limited sample size) · six months after OHCA

ng/L

Cut-off at 24 h
112
Cut-off at 48 h
229
Cut-off at 72 h
331

Atellica NfL cut-offs for good outcome with 100 % sensitivity

Cut-off at 24, 48 and 72 h
below 29 ng/L

Original publication

Neurofilament light chain evaluated with a new automated commercially available method for outcome prediction in out-of-hospital cardiac arrest patients. Resuscitation. Published 27 June 2025. doi:10.1016/j.resuscitation.2025.110698

Composed by AI from the published abstract and checked against it. How Briefs are made →

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