Acute Respiratory Distress Syndrome
Conditions
Keywords
acute respiratory distress syndrome, soluble triggering receptor expressed on myeloid cells-1, prognosis
Brief summary
The purpose of this study is to determine the impact of the serum soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) on etiology and prognosis of acute respiratory distress syndrome (ARDS)
Detailed description
The triggering receptor expressed on myeloid cells-1 (TREM-1), a member of the immunoglobulin superfamily, is upregulated on phagocytic cells in the presence of bacteria or fungi infection and weakly expressed in samples from patients with noninfectious inflammatory disorders. In addition, TREM-1 is shed from the membrane of activated phagocytes and can be found in a soluble form (sTREM-1) in body fluids. The level and serial change of a serum sTREM-1 from cirtical ill patients has been shown to be a good diagnostic and prognostic indicator of ventilation associated pneumonia (VAP) and severe sepsis.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Fulfill clinical diagnosis of ARDS * Require mechanical ventilation support
Exclusion criteria
* Pregnant * Immunocompromised
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| all cause mortality | 28 days |
| Septic or non-septic etiology | At enrollment |
Secondary
| Measure | Time frame |
|---|---|
| CRP, lactate, WBC count, APACHE II score, LIS, SOFA score | At enrollment |
| IL-1 beta, IL-8, TNF-alpha | serial follow up at Day 1, 3, 5, 7, 14 |
Countries
Taiwan