The Effects of Different Lipid Emulsions on the Adipokines, Inflammatory Markers and Mortality in Critically Ill Patients With Sepsis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Change of the adipokine in the first ten days in onset sepsis
研究概览
简要总结
Intravenous lipid emulsions contain a number of biologically active ingredients, but the most important are fatty acids. Different fatty acids can affect a number of different physiological processes in different ways in critically ill patients. Adipose tissue can play an important role in metabolic changes of critical illnesses and in adaptation to stress through structural as well as functional changes Although it is known that serum adipokine and cytokine response changes in critical sepsis patients, the factors affecting these changes and the metabolic consequences of these changes are not well defined. The aim of this study was to evaluate the effects of intravenous lipid emulsions on serum adipokine and cytokine levels in patients with sepsis. Secondly, this is to determine the adipokine and cytokine kinetics in the sepsis process and their relationship with mortality in patients with sepsis.
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 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of sepsis within the last 24 h
- •Age above 18 and below 85 years
- •Indication of only parenteral nutrition therapy
排除标准
- •Planning any different medical nutrition therapy such as enteral nutrition, immunonutrition or oral nutrition
- •Hypersensitivity (fish, egg or soy protein)
- •Uncontrolled hemorrhage
- •Uncontrolled hyperlipidemia
- •Severe primary blood coagulation diseases
- •Acute pancreatitis
- •Acute thromboembolic diseases
- •Severe liver failure
- •RIFLE stage III and IV renal failure
- •Pregnancy or lactation
- •Expected stay in ICU not more than 10 days
- •Expected survival not more than 10 days
结局指标
主要结局
Change of the adipokine in the first ten days in onset sepsis
时间窗: Baseline and 10 days
Adipokines levels are assayed using a enzyme-linked immunosorbent assay
次要结局
- Intensive care unit length of stay(Time of admission to the ICU until the time of discharge from the intensive care unit, up to 1 year)
- 28-day mortality(28 day)
研究者
Hulya ULUSOY
Clinical Professor
Karadeniz Technical University
