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| ID | Type | Description | Link |
|---|---|---|---|
| CE-2026-38 | Other Identifier | ETHICS COMMITTEE of the Faculties of Medicine, Dentistry, Pharmacy, Nursing Schools, Physiotherapy, Midwifery, and Hosp |
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Disseminated Intravascular Coagulation is a severe complication of septic shock, associated with high mortality, whose diagnosis relies on complex scores that are rarely used in practice. Preliminary studies have shown that increased neutrophil fluorescence is associated with Disseminated Intravascular Coagulation and could reflect NETosis, a key mechanism of immunothrombosis. This study aims to validate neutrophil fluorescence measured on the SthemA 801 analyzer, alone or integrated into an artificial intelligence model, as an early, reliable, and routinely usable biomarker for the diagnosis of septic Disseminated Intravascular Coagulation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients admitted to intensive care for septic shock | This pilot cohort is based on the demonstration that the increase in fluorescence of neutrophils, whether isolated or integrated into an AI model, is predictive of DIC and constitutes an early and reliable diagnostic marker of septic DIC. |
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| Measure | Description | Time Frame |
|---|---|---|
| Early diagnosis of disseminated intravascular coagulation in patients with septic shock hospitalized in medical intensive care using the neutrophil fluorescence ratio or an AI model based on complete blood count results |
| From admission to intensive care until day 2 after admission |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients admitted to the intensive care unit (ICU) for septic shock, with or without sepsis-associated disseminated intravascular coagulation (DIC), at the time of ICU admission.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Julie HELMS, Professor | Contact | +33 3 69 55 13 69 | julie.helms@chru-strasbourg.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University Hospitals of Strasbourg, Intensive Care Medicine Department - New Civil Hospital | Strasbourg | 67098 | France |
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| ID | Term |
|---|---|
| D004211 | Disseminated Intravascular Coagulation |
| D012772 | Shock, Septic |
| ID | Term |
|---|---|
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
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| D019851 | Thrombophilia |
| D018805 | Sepsis |
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |