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.
Study Type
OBSERVATIONAL
Enrollment
62
Trauma Center Vienna, Meidling
Vienna, Austria
Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, AUVA Trauma Research Center
Vienna, Austria
Trauma Center Vienna, Lorenz Böhler
Vienna, Austria
Immunocompetence
Infection during observation period
Time frame: 30 days after admission to ER
Changes in cellular immuno-status
Flow cytometric assessment of leukocyte subsets and the expression of surface molecules involved in antigen presentation and immuno-suppression.
Time frame: 0 hours, 24 hours, 48 hours, 96 hours after admission to ER
Release of extracellular vesicles and associated content
Flow cytometric assessment of the release of extracellular vesicles from various cell types.
Time frame: 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.
Time frame: 0 hours, 24 hours after admission to ER
Immunocompetence clusters
Clustering of patient immunocompetence characteristics by artificial intelligence
Time frame: 30 days after admission to ER
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.