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2024 ; 16
(7
): 2003-2011
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Diagnostic significance of serum levels of serum amyloid A, procalcitonin, and
high-mobility group box 1 in identifying necrotising enterocolitis in newborns
#MMPMID39087106
Guo LM
; Jiang ZH
; Liu HZ
; Zhang L
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2003-2011
PMID39087106
show ga
BACKGROUND: Necrotising enterocolitis (NEC) is a critical gastrointestinal
emergency affecting premature and low-birth-weight neonates. Serum amyloid A
(SAA), procalcitonin (PCT), and high-mobility group box 1 (HMGB1) have emerged as
potential biomarkers for NEC due to their roles in inflammatory response, tissue
damage, and immune regulation. AIM: To evaluate the diagnostic value of SAA, PCT,
and HMGB1 in the context of NEC in newborns. METHODS: The study retrospectively
analysed the clinical data of 48 newborns diagnosed with NEC and 50 healthy
newborns admitted to the hospital. Clinical, radiological, and laboratory
findings, including serum SAA, PCT, and HMGB1 Levels, were collected, and
specific detection methods were used. The diagnostic value of the biomarkers was
evaluated through statistical analysis, which was performed using chi-square
test, t-test, correlation analysis, and receiver operating characteristic (ROC)
analysis. RESULTS: The study demonstrated significantly elevated levels of serum
SAA, PCT, and HMGB1 Levels in newborns diagnosed with NEC compared with healthy
controls. The correlation analysis indicated strong positive correlations among
serum SAA, PCT, and HMGB1 Levels and the presence of NEC. ROC analysis revealed
promising sensitivity and specificity for serum SAA, PCT, and HMGB1 Levels as
potential diagnostic markers. The combined model of the three biomarkers
demonstrating an extremely high area under the curve (0.908). CONCLUSION: The
diagnostic value of serum SAA, PCT, and HMGB1 Levels in NEC was highlighted.
These biomarkers potentially improve the early detection, risk stratification,
and clinical management of critical conditions. The findings suggest that these
biomarkers may aid in timely intervention and the enhancement of outcomes for
neonates affected by NEC.