Sepsis is an organ dysfunction syndrome caused by the host's immune response to infection, and is one of the common critical illnesses. However, sepsis remains the main threat to global health. Due to the high heterogeneity, the diagnosis of sepsis is difficult, and it is particularly important to find biomarkers that can predict changes in the patient's condition and prognosis. The purpose of this study is to collect patient blood samples for testing and identify biomarkers related to the prognosis of sepsis.
Sepsis is an organ dysfunction syndrome caused by the host's immune response to infection, and is one of the common critical illnesses. There are reports that the mortality rate of sepsis patients is 25-30%, and the hospital mortality rate of septic shock is as high as 40-60%. According to Lancet data, in 2017, there were 48.9 million cases of sepsis worldwide, resulting in approximately 11 million deaths, accounting for 19.7% of the total global deaths. Surviving sepsis patients often experience secondary infections and chronic organ dysfunction, which affects their long-term quality of life and poses a huge socio-economic burden. The World Health Organization (WHO) has identified sepsis as a global health priority and called for improving the level of sepsis prevention and treatment. With the advancement of medical technology, the diagnostic and treatment guidelines for sepsis are constantly updated, and clinical treatment capabilities have been improved. However, sepsis remains the main threat to global health. Due to the high heterogeneity, the diagnosis of sepsis is difficult, and it is particularly important to find biomarkers that can predict changes in the patient's condition and prognosis. The purpose of this study is to collect patient blood samples for testing and identify biomarkers related to the prognosis of sepsis.
Study Type
OBSERVATIONAL
Enrollment
1,000
collect 5ml blood from patient
Qilu Hospital of Shandong University
Ji'nan, Shandong, China
RECRUITING28d all-cause mortality
28d all-cause mortality
Time frame: 28 days
Incidence of secondary infection
recurrence, double infection and new infection
Time frame: Day 0 to 28
ICU stays
ICU stays
Time frame: 90 days
Hospital stays
Hospital stays
Time frame: 90 days
re-hospitalization rate
re-hospitalization rate
Time frame: 90 days
SOFA score
SOFA score
Time frame: at days -1, 7, 14 and 28
all-cause mortality
all-cause mortality
Time frame: 90 days
ICU mortality
ICU mortality
Time frame: 90 days
28-day ventilator-free days
28-day ventilator-free days
Time frame: 28-day
28-day ICU-free days
28-day ICU-free days
Time frame: 28-day
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28-day CRRT-free days
28-day CRRT-free days
Time frame: 28-day
28-day Vasoactive agents-free days
28-day Vasoactive agents-free days
Time frame: 28-day
Septic shock
The incidence of septic shock
Time frame: 28-day
Sepsis heart injury
Ejection fraction\<50% and left ventricular ejection fraction (LVEF) decreased by 10% from baseline,changes in biomarkers such as CKMB、cTNI caused by sepsis
Time frame: 28-day
Sepsis renal injury
Changes in biomarkers such as creatinine caused by sepsis
Time frame: 28-day
Sepsis liver injury
Changes in biomarkers such as ALT,AST caused by sepsis
Time frame: 28-day
Out-of-hospital mortality rate
Mortality rate within one year after discharge
Time frame: Discharge for one year