Official Title
Genomic Approaches for Predicting Severity of Organ Dysfunction and Outcomes in Sepsis: a Prospective Cohort Study in Adult Critically Ill Patients With Sepsis
Brief Title
Genomics in Infection and Sepsis to Predict Organ Dysfunction and Outcomes in Sepsis
Protocol ID
NCT04199962
Lead Sponsor
Chinese University of Hong Kong
Brief Summary
This is a prospective cohort study using gene expression to study patients with infection
and sepsis from pneumonia.
Detailed Description
This is a prospective cohort study using single cell transcriptomic profiling and plasma
DNA tissue mapping on patients with pneumonia with or without sepsis. The major
application of the investigator's study would be the discovery of gene expressions in
different leucocytes and plasma DNA associated with each type of organ dysfunction in
sepsis. These include cardiovascular, respiratory, hepatic, renal, neurological and
haematological dysfunction. This would help prediction, diagnosis and development of
therapies to treat sepsis. Leucocyte single cell transcriptome and plasma DNA tissue
mapping may addresses the limitations of current evidence in 3 ways: (1) differentiate
patients with uncomplicated pneumonia versus pneumonia with associated sepsis, (2)
correlation with types and severity of organ dysfunction and (3) identifying molecular
phenotypes of sepsis.
Study Period
-
Enrollment Count
120 participants
Eligibility Criteria
Inclusion Criteria:
All of the following:
- newly admitted adult patients (≥ 18 years old)
- suspected community acquired pneumonia (CAP)
- compatible history of either sputum or cough or fever or rigors within 1 week
- chest X-ray infiltrates
Exclusion Criteria:
Any of the following:
- chest symptoms not solely accounted by pneumonia (cardiac failure, non cardiogenic
pulmonary oedema, suspected pulmonary embolism, suspected secondary acute
respiratory distress syndrome)
- immunosuppression
- current malignancy
- blood samples for gene expression could not be taken within 24 hours of admission
- prisoner/cogni tive impairment
- blood transfusion within 1 month
- hospitalization within 1 month
Filters
Sepsis
Infection
Pneumonia
UNKNOWN
ADULT
OLDER_ADULT