Infection After Transfusion
Conditions
Brief summary
The purpose of this study is to investigate the effect of transfusion of allogeneic (homologous) red cells on the immunologic parameters such as T-cells as well as natural killer cell count/function, various interleukins, TNF alpha and other immunologic relevant parameters on postoperative day 1,3 and 5-7 in patients undergoing spine surgery.
Interventions
Intraoperative blood transfusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 - \< 60 years * Patients underwent elective spine surgery * ASA classification 1-3
Exclusion criteria
* Patients who have the concomitant condition * Cancer * History of heart disease including, heart failure, coronary artery disease, hypertension treated with more than one medicament. * Serum creatinine \> 1.5 mg/dL * Stroke, neurologic and mental deficits, epilepsy * General or local infection (site of surgery), * Coagulation disorders. * Intraoperative massive bleeding * Infection of the spine * Rheumatoid arthritis * Patients who had either of the following drug (aspirin, methotrexate, cyclosporine, qualaquin)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Immunologic parameters | 7 days | Blood level of the following parameters on preoperative, postoperative day 1, 3, 5-7. 1. IL-1beta, IL-1ra, IL-2, IL-4, IL-5, IL-6, Il-7, IL-8, Il-9, Il-10, Il-12, Il-13, IL-15, Il-17,basic FGF (Fibroblast growth factors). 2. Cell Analytics - (mononuclear) T-Cells incl. killer cells, CD2, CD3, CD4, CD8, CD25, CD30, CD19, CD20, CD138, CD56, CD56, CD303, CD304, NK cytotoxicity (non-radioisotope), CTL cytotoxicity (non-radioisotope), T cell proliferation, B cell, T cell. |
Secondary
| Measure | Time frame |
|---|---|
| To determine the effect of red cell transfusion on clinical relevant outcome parameters, such as myocardial infarction, infection rate, and length of hospital stay. | 1 month |
Countries
Thailand