Early Waking, Heat Stroke, Kidney Injury, Liver Injury, MODS, Proteinosis
Conditions
Brief summary
Heat stroke is a clinical syndrome with high incidence and high fatality rate in summer. Patients with liver, kidney, and brain damage are prone to secondary MODS, and the prognosis is poor due to high medical costs. At present, there is no unified diagnostic criteria for acute liver injury associated with heat stroke, and the commonly used prognosis scores are rarely included in liver injury indicators, which is not good for practicality.
Detailed description
The project intends to collect the peripheral blood of the normal population, the 24 hours after the onset of heat stroke and the patients in the recovery period, to separate and extract plasma, PBMC, and plasma exosomal miRNA, and sequence to search for indicators related to disease deterioration and prognosis, construct and verify the early warning and prognosis evaluation system of the disease. On this basis, the researcher explore cellular and molecular mediated pathological mechanisms of heat stroke, and then clarify the treatment target of heat stroke.
Interventions
DIAGNOSTIC_TESTPeripheral blood test
Collect peripheral blood to separate and extract plasma, PBMC, and plasma exosomal miRNA, and sequence to find indicators related to disease deterioration and prognosis
Sponsors
Xijing Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
1. The patient voluntarily signs an informed consent form; 2. Adult patients who meet the criteria for heat stroke; 3. Heat stroke is defined as heat stroke (Heat Stroke, HS) is a serious fatal disease caused by heat injury factors acting on the body, accompanied by multiple organ damage.
Exclusion criteria
1. Age \<18 years old or \>90 years old; 2. Patients with advanced tumors, Pregnancy or lactation; 3. Patients who missed out during treatment and whose data are incomplete.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prognosis | Day 30 and Day 90 | Rate of Surviving or Died Participants with Heat Stroke |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heat Stroke-associated kindey injury | Day 0, Day 7 and On the day of discharge after improvement | Concentration of Creatinine(Cr)\>2 mg/dl or Urine output \< 500ml/Day |
| Heat Stroke-associated liver injury | Day 0, Day 7 and On the day of discharge after improvement | Concentration of ALT or AST \>80 U/L, Concentration of TBIL\>2mg/dl（34μmol/l） |
Countries
China
Contacts
Primary ContactWen Yin
Backup ContactShanshou Liu
Outcome results
None listed