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Assessment of Postoperative Lymphopenia as Risk Factor for Postoperative Infections

Completed
Conditions
Thoracic Diseases
Cancer of the Digestive System
Interventions
Other: Collection of plasma cell rate
Registration Number
NCT02799251
Lead Sponsor
Centre Hospitalier Universitaire de Saint Etienne
Brief Summary

Postoperative infections are one of the most common complications in thoracic and digestive cancer surgery. Former studies have demonstrated that inflammatory response is altered during peri-operative period causing lymphopenia. It has been suggested that lymphopenia may contribute to postoperative infection. To date, no one has proved it in a multivariate analysis. The aim of this study is to determine if lymphopenia is associated with postoperative infections in thoracic and digestive cancer surgery.

Detailed Description

Postoperative infections are one of the most common complications in thoracic and digestive cancer surgery. Former studies have demonstrated that inflammatory response is altered during peri-operative period causing lymphopenia. It has been suggested that lymphopenia may contribute to postoperative infection. To date, no one has proved it in a multivariate analysis.

The aim of this study is to determine if lymphopenia is associated with postoperative infections in thoracic and digestive cancer surgery. It is a multicenter French cohort study. Lymphocytes counts are obtained from patients undergoing pulmonary or digestive cancer surgery before surgery (day-0) as well 1, 3, 5 and 8 days after surgery. Anesthetic and surgical procedures are collected as well as risk factors for postoperative infections recognized in the literature. Clinical and biological signs of infection are collected.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1125
Inclusion Criteria
  • patient undergoing digestive or thoracic cancer surgery under general anesthesia.
Exclusion Criteria
  • pregnant women,
  • malignant blood disease,
  • allograft patient,
  • preoperative sepsis or preoperative systemic inflammatory response syndrome.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Collection of plasma cell rateCollection of plasma cell ratePost operative infections and their association with lymphopenia are assessed in this study for patients over 18 years of age undergoing digestive or thoracic cancer surgery under general anesthesia.
Primary Outcome Measures
NameTimeMethod
Presence of post operative infection1 month

Patients undergoing general anesthesia for thoracic or digestive surgery could present lymphopenia. In this situation, the presence of post operative infection is notified. The correlation between lymphopenia and post operative infections is studied.

Secondary Outcome Measures
NameTimeMethod
Anesthetic and surgical parameters1 month

To identify anesthetic and surgical parameters influencing postoperative lymphocytes cells count.

Trial Locations

Locations (20)

H么pital C么tes de Nacre CHU CAEN

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Caen, France

H么pital Edouard Herriot CHU LYON

馃嚝馃嚪

Lyon, France

H么pital La croix Rousse CHU LYON

馃嚝馃嚪

Lyon, France

H么pital Beaujon CHU PARIS 1

馃嚝馃嚪

Clichy, France

Chu Angers

馃嚝馃嚪

Angers, France

H么pital Estaing CHU CLERMONT-FERRAND

馃嚝馃嚪

Clermont-Ferrand, France

H么pital Michallon CHU GRENOBLE

馃嚝馃嚪

La Tronche, France

H么pital Huriez CHRU LILLE

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Lille, France

H么pital Lyon Sud CHU LYON

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Lyon, France

H么pital Nord CHU MARSEILLE

馃嚝馃嚪

Marseille, France

H么pital La Timone CHU MARSEILLE

馃嚝馃嚪

Marseille, France

H么pital Saint-Antoine CHU PARIS 4

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Paris, France

H么pital Car茅meau CHU NIMES

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N卯mes, France

H么pital H么tel-Dieu CHU NANTES

馃嚝馃嚪

Nantes, France

H么pital Saint Louis-Lariboisi猫re CHU PARIS 5

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Paris, France

H么pital La piti茅-Salpetri猫re CHU PARIS 3

馃嚝馃嚪

Paris, France

H么pital Bichat CHU PARIS 2

馃嚝馃嚪

Paris, France

H么pital Pontchaillou CHU RENNES

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Rennes, France

H么pital Central CHRU STRASBOURG

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Strasbourg, France

Centre de Lutte contre le Cancer, TOULOUSE

馃嚝馃嚪

Toulouse, France

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