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临床试验/NCT04711564
NCT04711564已完成不适用

The Effects of Different Lipid Emulsions on the Adipokines, Inflammatory Markers and Mortality in Critically Ill Patients With Sepsis

Karadeniz Technical University1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2018年3月29日最近更新:
适应症

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

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

申办方类型
Other
责任方
Principal Investigator
主要研究者

Hulya ULUSOY

Clinical Professor

Karadeniz Technical University

研究点 (1)

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