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Mechanism Study of Ventilator-Induced Lung Injury in Elderly People.

Recruiting
Conditions
Ventilator-Induced Lung Injury
Interventions
Procedure: mechanical ventilation
Registration Number
NCT06367946
Lead Sponsor
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
Brief Summary

1. We collect lung tissues from patients with different ages and confirm that KLK8 expression is positively correlated with age.

2. We collect peripheral blood from patients with different ages and duration of mechanical ventilation to explore the correlation between the degree of endothelial/epithelial damage, age and duration of mechanical ventilation.

Detailed Description

1. We collect lung tissues from patients with different ages and confirm that KLK8 expression is positively correlated with age. All clinical samples have been collected and tested uniformly. Correlation analysis between KLK8 and age will be performed by using Statistical Package for the Social Sciences (SPSS) 22.0 software, and P\<0.05 indicates a statistically significant difference. The obtained clinical data should be recorded on survey forms, and researchers should verify patient information by recording basic information such as age and gender.

2. We collect peripheral blood from patients with different ages and duration of mechanical ventilation to explore the correlation between the degree of endothelial/epithelial damage, age and duration of mechanical ventilation. All clinical samples have been collected and tested uniformly. Correlation analysis between endothelial/epithelial damage index, age and duration of mechanical ventilation will be performed by using SPSS 22.0 software, and P\<0.05 indicates a statistically significant difference. The obtained clinical data should be recorded on survey forms, and researchers should verify patient information by recording basic information such as age and gender.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1000
Inclusion Criteria
  1. Lung tissues from patients with different ages:

    Patients undergoing elective general anesthesia surgery; Patients undergoing partial lung resection with mechanical ventilation; American Society of Anesthesiology (ASA) grade 2-3;

  2. Peripheral blood from patients with different ages and duration of mechanical ventilation:

Patients undergoing elective general anesthesia surgery with mechanical ventilation; ASA grade 2-3;

Exclusion Criteria
  1. Lung tissues from patients with different ages:

    Patients with chronic lung diseases (asthma, chronic obstructive pulmonary disease (COPD), pulmonary heart disease, etc.); Patients with human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), hepatitis D virus (HDV), or receiving immunotherapy; Patients who have recently suffered from pneumonia; Recent history of mechanical ventilation; Patients with thrombotic diseases; Children and pregnant women.

  2. Peripheral blood from patients with different ages and duration of mechanical ventilation:

Patients with chronic lung diseases (asthma, COPD, pulmonary heart disease, etc.); Smoking patients; Patients with hypertension/diabetes/coronary heart disease; Patients with HIV, HBV, HCV, HDV, or receiving immunotherapy; Patients who have recently suffered from pneumonia; Recent history of mechanical ventilation; Patients with thrombotic diseases; Children and pregnant women.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Under 40 years oldmechanical ventilationPatients undergoing surgery with mechanical ventilation who are under 40 years old
Over 80 years oldmechanical ventilationPatients undergoing surgery with mechanical ventilation who are over 80 years old
50-60 years oldmechanical ventilationPatients undergoing surgery with mechanical ventilation who are 50-60 years old
60-70 years oldmechanical ventilationPatients undergoing surgery with mechanical ventilation who are 60-70 years old
40-50 years oldmechanical ventilationPatients undergoing surgery with mechanical ventilation who are 40-50 years old
70-80 years oldmechanical ventilationPatients undergoing surgery with mechanical ventilation who are 70-80 years old
Primary Outcome Measures
NameTimeMethod
Endothelial/epithelial damage index concentration in peripheral blood2024.5.1-2024.8.1

The concentration of endothelial/epithelial damage index in lung tissue is determined by ELISA.

KLK8 concentration of lung tissue2023.7.1-2024.7.1

The concentration of KLK8 in lung tissue is determined by ELISA.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Shanghai Xinhua hospital

🇨🇳

Shanghai, China

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