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| Name | Class |
|---|---|
| European Society of Intensive Care Medicine | OTHER |
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The primary aim of the study is to demonstrate that mitochondrial dysfunction occurs in both skeletal muscle and circulating platelets of severely septic and septic shock ICU-admitted patients. Secondary aims are to clarify the pathogenesis and the clinical relevance of mitochondrial damage during sepsis.
The primary aim of the study is to demonstrate that mitochondrial dysfunction occurs in both skeletal muscle and circulating platelets of severely septic and septic shock ICU-admitted patients, as compared to otherwise healthy surgical ones. In order to better clarify the pathogenesis of mitochondrial dysfunction during sepsis, cardiogenic shock patients (suffering from systemic hypoperfusion) will act as additional controls. Markers of oxidative stress will be measured in tissue samples from septic patients. The clinical relevance of mitochondrial dysfunction during sepsis will be assessed in terms of both skeletal muscle and platelet function.
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| Measure | Description | Time Frame |
|---|---|---|
| Mitochondrial respiratory chain enzyme activity | On day one and seven from admission to ICU |
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Inclusion Criteria:
Exclusion Criteria:
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Adult ICU-admitted severely septic and septic shock patientes; adult ICU-admitted cardiogenic shock patients; surgical patients
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| Name | Affiliation | Role |
|---|---|---|
| Luciano Gattinoni, MD | Ospedale Maggiore Policlinico Mangiagalli e Regina Elena | Study Chair |
| Alessandro Protti, MD | Ospedale Maggiore Policlinico Mangiagalli e Regina Elena | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena | Milan | Italy | 20122 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25757508 | Derived | Protti A, Fortunato F, Artoni A, Lecchi A, Motta G, Mistraletti G, Novembrino C, Comi GP, Gattinoni L. Platelet mitochondrial dysfunction in critically ill patients: comparison between sepsis and cardiogenic shock. Crit Care. 2015 Feb 11;19(1):39. doi: 10.1186/s13054-015-0762-7. |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D012772 | Shock, Septic |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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muscle tissue, platelets, plasma
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |