Identifying Severe Trauma Patients at High Risk of Post-traumatic Complications
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 3,500
- 试验地点
- 6
- 主要终点
- morbidity rate of complications after trauma (including sepsis and MODS)
研究概览
简要总结
The purpose of this study is to evaluate a clinically and economically most effective diagnostic algorithm for prediction of post-traumatic complications in a multicenter sample of severe trauma patients.
详细描述
Trauma is a major public health problem worldwide, ranking as the fourth leading cause of death. One of the most serious complications of major trauma is sepsis, which often induces sequential multiple organ dysfunction syndrome (MODS). There were still no specific biomarkers to predict the susceptibility of complications and outcomes, which leading to the limited prevention methods and the high mortality rate of severe trauma patients. Previous studies from our and other group have found some sepsis and MODS predictors, including genetic polymorphisms, serum cytokines and cell-surface markers. The purposes of this multi-center observational study is to select biomarkers and evaluate a clinically and economically most effective diagnostic algorithm for prediction of complications in severe trauma patients.
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 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •age> 16 years old and <65 years old
- •severe trauma patients (AIS ≧3 or ISS≧16)
- •admission within 48 hours after injury
- •given and signed informed consent
排除标准
- •died within 48h after injury
- •being pregnant or lactating
- •chronic organ dysfunction comorbidities
- •long-term anticoagulant therapy before injury
- •presence of immunosuppression before injury
结局指标
主要结局
morbidity rate of complications after trauma (including sepsis and MODS)
时间窗: patients will be followed for the duration of hospital stay, an expected average of 3 weeks
次要结局
- survival(witnin 30 days and 60 days after injury)
研究者
Jiang Jianxin
Principal Investigator
Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
