April 28, 2026 · Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · DOI: 10.1111/acem.70298

Age-Specific Clinical Biomarker Ranges in Acute Head Injury, Non-TBI Trauma, and Healthy Control Subjects in the Emergency Department

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The authors aimed to investigate how age influences blood-based biomarkers for traumatic brain injury (TBI) compared to the effects of the injury itself. Their findings reveal that age significantly affects biomarker levels, particularly for glial fibrillary acidic protein (GFAP) and von Willebrand factor (vWF), with age-related changes often rivaling or exceeding those associated with TBI. This highlights the necessity for age-adjusted interpretations of biomarker data in clinical settings to avoid misclassification, especially in older patients.

Katherine D Mayes, Timothy E Van Meter, Nazanin Mirshahi, Sally Boyd, Danielle Sandsmark, Katya Rascovsky, Ramon Diaz-Arrastia, Justin Weppner, W Frank Peacock, Damon R Kuehl, HeadSMART II Investigators

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