Polytrauma and Resuscitation Impact on Innate Immunity
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 62
- 试验地点
- 3
- 主要终点
- Immunocompetence
研究概览
简要总结
Major trauma can lead to a dysregulated response to secondary infection. Severe injuries are accompanied by pro- and antiinflammatory changes that affect both adaptive and innate immunity. In this study we aim to assess cellular immuno-competence early during treatment in an attempt to identify signs of immuno-suppression.
详细描述
Polytrauma represents one of the most challenging critical conditions for caretakers worldwide and involves multiple damages of different anatomical regions. Severe traumatic injuries are among the primary causes of death among young people under the age of 45 and half of them are due to uncontrollable bleeding. In the acute injury phase of trauma, severe blood loss is often accompanied by biochemical, cellular and physiological dysfunctions leading to an inflammatory response, infections and in some cases coagulopathy. We aim to identify immuno-suppression by analyzing phagocytic capacity, leukocyte subsets, surface molecule expression and extracellular vesicles in the peripheral blood of severly injured patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 18
- •Injury Severity Score (ISS) > 15
- •Incident to admission time < 3h
排除标准
- •Preexisting condition
- •Pregnancy or breastfeeding
- •Coronary Heart Disease
- •Intake of antiphlogistic medication
结局指标
主要结局
Immunocompetence
时间窗: 30 days after admission to ER
Infection during observation period
次要结局
- Changes in cellular immuno-status(0 hours, 24 hours, 48 hours, 96 hours after admission to ER)
- Release of extracellular vesicles and associated content(0 hours, 24 hours after admission to ER)
- Platelet-leukocyte aggregates(0 hours, 24 hours after admission to ER)
- Immunocompetence clusters(30 days after admission to ER)
研究者
Gerhard Fritsch
Priv.-Doz., Prim., Dr.med.univ
Ludwig Boltzmann Gesellschaft
