Organ Failure, Severe Sepsis
Conditions
Keywords
severe sepsis, organ failure, activated protein C, thrombomodulin, EPCR
Brief summary
This is a comparative study performed in 3 groups of patients/subjects: 30 severe sepsis patients, 30 non-septic patients with organ failure, 30 healthy subjects. The only intervention is a venous blood sampling at the onset of the disease. The purpose of the study is to compare the PC pathway and expression and inflammatory genes between the 3 groups. The main hypothesis is that systemic inflammatory response and exacerbated coagulation activation are non specific of an infection as a triggering event.
Detailed description
analysis of the PC pathway * PC activity * PS activity * soluble thrombomodulin * soluble EPCR * activated protein C * quantitative flow cytometry on monocytes (thrombomodulin and EPCR) * whole blood mRNA (Tissue factor, thrombomodulin and EPCR) * inflammatory gene expression analysis by MLPA
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* severe sepsis patients or: * non-septic acute organ failure patients or: * healthy subjects matched for age and sex with severe sepsis patients
Exclusion criteria
* criteria for organ failure lasting for more than 24 hours