Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Recruitment could not be resumed due to the COVID-19 pandemic
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| AUVA | OTHER |
Not provided
Not provided
Not provided
Not provided
Major trauma can lead to a dysregulated response to secondary infection. Severe injuries are accompanied by pro- and antiinflammatory changes that affect both adaptive and innate immunity. In this study we aim to assess cellular immuno-competence early during treatment in an attempt to identify signs of immuno-suppression.
Polytrauma represents one of the most challenging critical conditions for caretakers worldwide and involves multiple damages of different anatomical regions. Severe traumatic injuries are among the primary causes of death among young people under the age of 45 and half of them are due to uncontrollable bleeding. In the acute injury phase of trauma, severe blood loss is often accompanied by biochemical, cellular and physiological dysfunctions leading to an inflammatory response, infections and in some cases coagulopathy. We aim to identify immuno-suppression by analyzing phagocytic capacity, leukocyte subsets, surface molecule expression and extracellular vesicles in the peripheral blood of severly injured patients.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| Immunocompetence | Infection during observation period | 30 days after admission to ER |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in cellular immuno-status | Flow cytometric assessment of leukocyte subsets and the expression of surface molecules involved in antigen presentation and immuno-suppression. | 0 hours, 24 hours, 48 hours, 96 hours after admission to ER |
| Release of extracellular vesicles and associated content |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Polytraumatized patients older than 18 years, that were directly (within 3 hours) admitted to the emergency room of one the participating trauma centers and that do not match one of the exclusion criteria.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Susanne Drechsler, DVM | Ludwig Boltzmann Institute for Experimental and Clinical Traumatology | Study Chair |
| Marcin Osuchowski, DVM | Ludwig Boltzmann Institute for Experimental and Clinical Traumatology | Study Chair |
| Heinz Steltzer, MD, Prof. | Trauma Center Vienna, Meidling | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Trauma Center Vienna, Meidling | Vienna | 1120 | Austria | |||
| Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, AUVA Trauma Research Center |
Not provided
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Peripheral whole blood. Anticoagulants: Sodium-citrate, EDTA, Heparin. Retention of plasma samples.
Flow cytometric assessment of the release of extracellular vesicles from various cell types. |
| 0 hours, 24 hours after admission to ER |
| Platelet-leukocyte aggregates | Formation of platelet-leukocyte aggregates in the peripheral blood upon admission and on the ICU. | 0 hours, 24 hours after admission to ER |
| Immunocompetence clusters | Clustering of patient immunocompetence characteristics by artificial intelligence | 30 days after admission to ER |
| Vienna |
| 1200 |
| Austria |
| Trauma Center Vienna, Lorenz Böhler | Vienna | 1200 | Austria |