Identification and Validation of Biomarkers for Infections in Burns
Identification and Validation of Established and Novel Biomarkers for Infections in Burns
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
The burn literature is replete with suggested biomarkers of infections for identifying sepsis or other infections in burn patients, however, these reports are largely untested. In order for incorporation of infection biomarker assessment to become the standard of care, validation of these markers in a multi-center prospective study is necessary. As the majority of these biomarkers have been chosen because of success in other patient populations, or ease of measurement, it is possible that the best biomarkers of infection have not yet been discovered in this patient population. Prospective identification and validation of novel biomarkers may also improve early identification of infections in burn patients. Early treatment of infections and sepsis directly correlated with improved survival and reduced costs of care.
In this prospective, multi-center study, 200 patients from four participating Texas burn hospitals will be enrolled from admission to discharge. The clinical research study team will collect approximately 11 serum samples and clinical data related to sepsis and infection predictors from severely burned adult patients, ages 18-80 years old. All serum samples from participating sites will be shipped to the lead site, University of Texas Medical Branch. The University of Texas Medical Branch will then validate previously identified biomarkers while simultaneously identifying novel biomarkers through discovery proteomics.
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
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Texas
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Dallas, Texas, États-Unis, 75390
- University of Texas Southwestern Medical Center
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Fort Sam Houston, Texas, États-Unis, 78234
- U.S. Army Institute of Surgical Research
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Houston, Texas, États-Unis, 77030
- University of Texas Health Science Center at Houston
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- Ages 18-80 years old
- Greater than 20% Total Body Surface Area burn
- Patient arrival to the burn center within 7 days of burn injury
Exclusion Criteria:
- Known history of acquired immunodeficiency syndrome (AIDS), AIDS-related complex (ARC), human immunodeficiency virus (HIV)
- History of cancer within 5 years
- Pregnancy
- Burn injury due to chemical burns or deep electrical injury
- Inability to obtain informed consent
- Decision not to treat due to burn injury severity or futility as deemed by the clinical team at the time of admission (Note: This is a clinical determination of futility beyond which survival is rare. These are typically patients whose sum of Total Body Surface Area % burn and age (Baux score) exceeds 140 or 120 with severe inhalation injury.)
- Presence of anoxic brain injury that is not expected to result in complete recovery
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Modèles d'observation: Écologique ou communautaire
- Perspectives temporelles: Éventuel
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
|
Incidence of infectious and septic episodes
Délai: 1.5 years
|
1.5 years
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Collaborateurs et enquêteurs
Les enquêteurs
- Chercheur principal: Celeste C Finnerty, Ph.D., University of Texas
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 14-0525
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