Cardiac arrest & resuscitation

Plasma phosphorylated tau (p-tau231) and total tau (t-tau) as prognostic markers of neurological outcome after cardiac arrest - a multicentre study

ResuscitationPublished Prospective cohort study

Main finding · Neurological outcome (CPC), prognostic performanceResult — go to the resultAUC 0.95 95 % CI 0.93–0.98

Authors' conclusion

Although p-tau231 showed moderate neurological prognostic ability, t-tau was a stronger predictor, particularly at 48 h, even after adjusting for clinical covariates.

Study context

Population
Cardiac arrest patients admitted to ICU
Participants
425 patients
Exposure
Plasma p-tau231 vs t-tau for prognosis of neurological outcome
Outcome
Long-term neurological outcome (CPC)
Methodological detailsmulticentre, observational, p-tau231 retrospectively analysed at admission, 12 and 48 h
  • Multicentre
  • Observational
  • p-tau231 retrospectively analysed at admission, 12 and 48 h

Main finding

As reported in the abstract

Neurological outcome (CPC), prognostic performance

AUC

0.95

95 % CI 0.93–0.98

P < 0.001

By group

p-tau231

AUC on admission
0.69
AUC at 12 h
0.72
AUC at 48 h
0.71

T-tau

AUC at 48 h, adjusted for covariates
0.95
95% CI
0.93-0.98

Clinical covariate reference model

AUC
0.88
95% CI
0.84-0.93

AUC on admission

p-tau2310.69
T-tau— not stated in the abstract
Clinical covariate reference model— not stated in the abstract

AUC at 12 h

p-tau2310.72
T-tau— not stated in the abstract
Clinical covariate reference model— not stated in the abstract

AUC at 48 h

p-tau2310.71
T-tau— not stated in the abstract
Clinical covariate reference model— not stated in the abstract

AUC at 48 h, adjusted for covariates

p-tau231— not stated in the abstract
T-tau0.95
Clinical covariate reference model— not stated in the abstract

95% CI

p-tau231— not stated in the abstract
T-tau0.93-0.98
Clinical covariate reference model0.84-0.93

AUC

p-tau231— not stated in the abstract
T-tau— not stated in the abstract
Clinical covariate reference model0.88
Increasing p-tau231 levels significantly associated with worse Cerebral Performance Category (CPC)
P < 0.001
Elevated t-tau significantly associated with worse outcome at all time points
P < 0.001

Observational data: associations, not effects.

Original publication

Plasma phosphorylated tau (p-tau231) and total tau (t-tau) as prognostic markers of neurological outcome after cardiac arrest - a multicentre study. Resuscitation. Published 3 December 2024. doi:10.1016/j.resuscitation.2024.110450

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