Gut Microbiome Dysbiosis in Sepsis-induced Coagulopathy
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- coagulation disorder tests
研究概览
简要总结
In the diagnosis and treatment of patients with sepsis, through routine stool testing and dynamic testing of coagulation function, we found that patients often have stools that are not formed, the proportion of main fecal bacteria is imbalanced, the level of blood bacterial toxins rises, and the abnormal coagulation status indicate the gut microbiome dysbiosis may play an important regulatory role in abnormal blood coagulation in patients with sepsis. Therefore, we propose that the gut microbiome dysbiosis is involved in sepsis-induced coagulopathy. This project intends to prospectively observe the changes in gut microbiome dysbiosis and blood coagulation function in patients with sepsis before and after treatment, and explore whether the changes in gut microbiome dysbiosis promote the development of sepsis through coagulation disorders, provide new research perspectives for diagnosis and treatment for sepsis.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 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
- •Age ≥18 years and ≤85 years
- •Sign the informed consent form
- •Expected ICU hospital stay> 24 hours
- •△SOFA score ≥2 and confirmed or suspected infection
排除标准
- •Pregnant or breastfeeding women
- •Estimated survival time <24 hours
- •Diagnosis of sepsis time> 24 hours
- •The length of ICU stay before diagnosis of sepsis> 7 days
- •Sepsis from which the source of infection cannot be determined
- •Congenital coagulopathy
结局指标
主要结局
coagulation disorder tests
时间窗: Day 1- Day 14
Laboratory tests of coagulation disorder,such as PT,APTT,INR,TEG,fibrin degradation products , D-dimers.
Gut Microbiome alterations
时间窗: Day 1- Day 14
Taxonomic alterations,bacterial alpha diversity alterations,beta-diversity alterations of gut microbiome by performing metagenomic sequencing analysis of fecal samples
次要结局
未报告次要终点
研究者
Zhi-jie He
Clinical Professor
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
