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This study is designed to study the variations in the microbiome among critically ill patients and the effect of admission to the medical intensive care unit (MICU) at the University of Chicago. Additionally, investigators will examine the downstream clinical effects of dysbiosis in ICU patients and how patients maybe effected long term.
During this study investigators will longitudinally collect discarded stool biosamples throughout the MICU admission when available. Stool Bio specimens will be recorded/coded and processed by the investigators. Stool Bio specimens will be analyzed for 16sRNA and metabolomics. Surveys will be conducted at study entry, in addition to 6 months and 12 months following discharge.
By longitudinally sampling discarded biospecimens from subjects throughout their MICU admission in additionally to describing long term following up. We will be able to correlate changes in the microbiome with clinical data, and follow up surveys to identify factors that may impact the composition of the microbiome and their impact on clinical outcomes.
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| Measure | Description | Time Frame |
|---|---|---|
| Long Term Mortality | Death from any cause 90 day, 1 year | up to 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| hospital mortality | death from any cause during hospitalization | 28 day |
| ICU length of stay | number of days admitted to the ICU | hospitalization up to 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| ICU re-admission | number of admissions to ICU | up to 12 months |
| ICU related complications | presence of ICU complications: including ventilator associated pneumonia, GI hemorrhage, DVT/PE, sacral decubitus ulcer, delirium, ICU acquired weakness |
Inclusion Criteria:
adult patients admitted to the intensive care unit
Exclusion Criteria: none
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adult patients admitted to the intensive care unit
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| Name | Affiliation | Role |
|---|---|---|
| Bhakti Patel | University of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Chicago Medical Center | Chicago | Illinois | 60637 | United States |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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stool
| Hospital length of stay | number of days admitted to the hospital | hospitalization up to 6 weeks |
| Functional Status Score | Katz Index of Independence in activities of daily living; minimal score = 0; maximum score = 6; higher score better outcome | up to 12 months after discharge |
| Cognitive Dysfunction | Montreal Cognitive Assessment (MoCA) score; minimal score = 0; maximum score = 30; higher score better outcome | Up to 12 months after discharge |
| Quality of Life score | SF-36 score: including physical component summary (PCS) and mental component summary (MCS) | up to 12 months after discharge |
| up to 6 weeks |
| Ventilator days | duration of mechanical ventilation via endotracheal tube | up to 4 weeks |