Systemic Inflammatory Response Syndrome
Conditions
Keywords
cardiac surgery, cardiopulmonary bypass, acute lung injury, acute respiratory distress syndrome, acute kidney injury, atrial fibrillation, postoperative psychosis, myocardial infarct, sepsis
Brief summary
The aim of the study is to evaluate a clinically and economically most effective diagnostic algorithm for prediction of inflammatory response related complications in patients undergoing heart surgery with use of cardiopulmonary bypass.
Detailed description
Identified so far predictors of mortality and/or morbidity in patients who undergo heart surgery with cardiopulmonary bypass (CPB), used in previous risk prediction models (EUROSCORE, CABDEAL, Cleveland), will be compared with new candidate variables: 1. anamnestic: recent tooth extractions, chronic inflammatory diseases, specific drug use; 2. biochemical: C-reacting protein, interleukin-6, tumor necrosing factor alpha; 3. genetical: single nucleotide polymorphisms of 10 genes associated with inflammatory response; and 4. clinical from the 1. postoperative day: systemic inflammatory response syndrome, APACHE-III score; against their predictive capability of selected clinical phenotypes of inflammatory response occuring after surgery, beginning from day 2. after surgery.
Interventions
cardiac surgery with CPB use or ascending aorta surgery performed with use of cardiopulmonary bypass with or without aortic cross clamping.
Sponsors
Study design
Eligibility
Inclusion criteria
* adults (age \>=18) * given and signed informed consent * no previous cardiac surgery with opening the pericardium
Exclusion criteria
* previous cardiac surgery with opening the pericardium * consent refused or not given
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical phenotypes of inflammatory response: SIRS, acute lung injury/acute respiratory distress syndrome, acute kidney injury, atrial fibrillation, postoperative psychosis, perioperative myocardial infarct/injury, sepsis. | between day 2 after operation and hospital discharge |
Secondary
| Measure | Time frame |
|---|---|
| all cause inhospital mortality | from day 2 after operation |
Countries
Poland