Acute Lung Injury, Kidney Injury, Single Nucleotide Polymorphism
Conditions
Brief summary
NFKB1 -94ins/del polymorphism has been reported to be associated with reduced promoter activity of NFKB1 and several clinical diseases, but the clinical results cannot always be replicated. Besides, mutate allele is associated with alleviated inflammation in ulcerative colitis and some tumors, but aggravated inflammation in ARDS. The clinical value of this polymorphism remains controversial. This study was performed to investigate the association of NFKB1 -94ins/delATTG polymorphism with lung and/or kidney injury after cardiac surgery with CPB.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Chinese Han unrelated population * undergoing elective cardiac surgery with CPB
Exclusion criteria
* malignant tumor * autoimmune disease, immunodeficiency or immunosuppressive therapy * chronic renal disease (glomerular filtration rate \< 60ml/(min•1.73m2)) or liver dysfunction (Child Pugh classification\>A) * COPD, tuberculosis or other chronic pulmonary diseases * anemia with hemoglobin lower than 90mmHg * bleeding disorders * postoperative pericardial tamponade requiring re-operation * postoperative low cardiac output syndrome or acute pulmonary edema after left cardiac failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| lung injury and/or kidney injury after cardiac surgery with cardiopulmonary bypass | 24h after cardiac surgery |
Secondary
| Measure | Time frame |
|---|---|
| circulating level of CRP, TNF-alpha, IL-10; APACHE Ⅱ score; duration of ICU stay and hospitalization; death in 28 days | one month after cardiac surgery |
Countries
China