Identification, in Patients Admitted to Intensive Care for Severe Influenza Respiratory Infection, of a Predictive Biomarker of Respiratory Distress
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Influenza
- Sponsor
- Hospices Civils de Lyon
- Enrollment
- 227
- Locations
- 11
- Primary Endpoint
- Change in ratio of the partial pressure of oxygen in arterial blood (PaO2) to the inspired oxygen fraction (FiO2), from admission at 7 days post-admission
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
Influenza is a major cause of morbidity and mortality. The investigators first goal is to evaluate soluble HLA-G5 isoform serum level as a potential marker of greater risk of death from Influenza respiratory illness in adult and pediatric patients hospitalized in reanimation. Secondly, the investigators collected respiratory samples in order to study the transcriptomic profiles of influenza-infected patients with severe symptoms.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient (Adult or Pediatric)
- •Hospitalized in reanimation
- •With a laboratory confirmed Influenza
- •That agree to take part in the study
- •Affiliated to National Health Insurance
- •For ancillary group :
- •Adult at least 60 years old
- •Presenting at hospital for a blood test
Exclusion Criteria
- •non willing to participate
- •Influenza infection with no respiratory symptoms
- •pregnancy
- •For ancillary group :
- •Presence of immunodepression defined by:
- •Cancer, or cancer cured for less than 2 years
- •Corticosteroids, Methotrexate (MTX), anti Tumor Necrosis Factor (TNF), anti-CD20
- •Infection in progress (fever)
Outcomes
Primary Outcomes
Change in ratio of the partial pressure of oxygen in arterial blood (PaO2) to the inspired oxygen fraction (FiO2), from admission at 7 days post-admission
Time Frame: The first, third, fifth and seventh day of hospitalization in reanimation
decreased arterial PaO2/FiO2 ratio ≤ 100 mmHg (≤ 13.3 kPa)
Secondary Outcomes
- All cause mortality(90 days after hospitalization)
- Extracorporeal membrane oxygenation requirement(90 days after hospitalization)
- SOFA score (Adult) PELOD (Pediatric)(The first, third, fifth and seventh day of hospitalization in reanimation)