Cerebrolysin in Patients with TBI: Systematic Review and Meta-Analysis.
Konrad JaroszKlaudyna KojderAgata AndrzejewskaJoanna Sołek-PastuszkaAnna JurczakPublished in: Brain sciences (2023)
TBI (traumatic brain injury) is one of the most common causes of deaths and failure to return to society according to the latest statistics. Cerebrolysin is a drug approved for use in patients diagnosed with TBI. It is a mixture of neuropeptides derived from purified porcine brain proteins and multiple experimental studies have proven its neuroprotective and neurorestorative properties both in vitro and in vivo. In our meta-analysis, we analyze the latest clinical study reports on the use of Cerebrolysin in patients with TBI. The authors searched the databases: Pub Med, Cinahl, Web Of Science, and Embase from database inception until 11th July 2022. Ten clinical studies were eligible and included in the final analysis, including both retrospective and prospective studies of 8749 patients. Treatment with Cerebrolysin was associated with a statistically significant change in GCS and GOS. Mortality of any cause and the length of stay was not affected by the treatment. Our findings support and confirm the beneficial effects of Cerebrolysin treatment on the clinical outcome of patients after TBI. Further multi-center studies to optimize dosing and time of administration should be conducted.
Keyphrases
- traumatic brain injury
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- systematic review
- severe traumatic brain injury
- peritoneal dialysis
- randomized controlled trial
- prognostic factors
- clinical trial
- machine learning
- patient reported outcomes
- multiple sclerosis
- cardiovascular disease
- public health
- blood brain barrier
- mild traumatic brain injury
- deep learning
- smoking cessation
- cerebral ischemia
- subarachnoid hemorrhage
- cross sectional
- replacement therapy
- risk factors
- electronic health record