Sepsis
Conditions
Keywords
immunosuppression, community-acquired sepsis, mortality
Brief summary
To evaluate the dynamic alterations of Th2/Th1 for the prediction of clinical immunity and how it was related to 28 day-prognosis and ICU-acquired infections among critically ill patients of community-acquired severe sepsis with new onset.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
For community-acquired severe sepsis group: Inclusion Criteria: * at least 18 years of age and no more than 90 years of age * sepsis was defined according to consensus criteria * diagnosis of sepsis and complicatied with organ dysfunction no longer than 48 h * provided written informed consent.
Exclusion criteria
* diagnosis of hematological,immunological disease or cancer * treatment with chemotherapy agents or corticosteroids within 6 months prior to or during the hospitalization For non-severe sepsis ICU control group: Inclusion Criteria: * at least 18 years of age and no more than 90 years of age * without diagnosis of sepsis and admitted to ICU * provided written informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Th2/Th1 upon enrollment | Day 0 after enrollment for community-acquired severe sepsis group and Day 0 after enrollment for the non-severe sepsis patients and heathy control group | The blood samples were collected for T helper 1 cells and T helper 2 cells populations measured by flow cytometry. All groups are needed. |
| Th2/Th1 on Day 3 | Day 3 after enrollment for community-acquired severe sepsis group | populations measured by flow cytometry. Only community-acquired severe sepsis group is needed. |
| Th2/Th1 on Day 7 | Day 7 after enrollment for community-acquired severe sepsis group | populations measured by flow cytometry. Only community-acquired severe sepsis group is needed. |
Secondary
| Measure | Time frame |
|---|---|
| 28-day mortality for community-acquired severe sepsis group | 28-day |
| ICU-acquired infection for community-acquired severe sepsis group | 28-day |
Countries
China