Trimethylamine-N-oxide (TMAO) predicts short- and long-term mortality and poor neurological outcome in out-of-hospital cardiac arrest patients

Sep 1, 2020Clinical chemistry and laboratory medicine

Trimethylamine-N-oxide (TMAO) levels predict short- and long-term survival and brain recovery after cardiac arrest outside the hospital

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Abstract

In a cohort of 258 out-of-hospital cardiac arrest patients, 44.6% died during hospitalization.

  • Higher admission TMAO levels were observed in patients who did not survive hospitalization compared to survivors.
  • The median TMAO level for non-survivors was 13.2 μmol L-1, while it was 6.4 μmol L-1 for survivors.
  • TMAO levels were significantly associated with in-hospital mortality, with an adjusted odds ratio of 2.1.
  • Similar associations were found for 90-day mortality and neurological outcomes in univariate analyses.
  • TMAO levels may help improve prognostication for patients after out-of-hospital cardiac arrest.

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