Multiple Organ Dysfunction Syndrome, Sepsis, Trauma
Conditions
Keywords
trauma ; sepsis; Multiple Organ Dysfunction Syndrome; Prediction; risk
Brief summary
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.
Detailed description
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.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* 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
Exclusion criteria
* died within 48h after injury * being pregnant or lactating * chronic organ dysfunction comorbidities * long-term anticoagulant therapy before injury * presence of immunosuppression before injury
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| morbidity rate of complications after trauma (including sepsis and MODS) | patients will be followed for the duration of hospital stay, an expected average of 3 weeks |
Secondary
| Measure | Time frame |
|---|---|
| survival | witnin 30 days and 60 days after injury |
Countries
China