World Journal of Emergency Surgery | |
Correlation of the oxygen radical activity and antioxidants and severity in critically ill surgical patients – study protocol | |
Jae Gil Lee1  Seung Hwan Lee1  Ji Young Jang1  Hongjin Shim2  | |
[1] Department of Surgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Korea;Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea | |
关键词: Glutamate; Selenium; Zinc; Critically ill patient; Sepsis; Antioxidant activity; Oxygen radical activity; | |
Others : 791903 DOI : 10.1186/1749-7922-8-18 |
|
received in 2013-02-23, accepted in 2013-04-26, 发布年份 2013 | |
【 摘 要 】
Background
Surgical patients who require an emergent operation commonly have severe sepsis or septic shock, followed by high morbidity and mortality rates.
Despite advances in treatment however, no predictable markers are available. In severe sepsis, many pathophysiologic mechanisms are involved in progression to organ failure, and oxygen free radical and antioxidants are known to contribute to this process. Oxygen free radical and antioxidants contribute to progression of organ failure in severe sepsis. In fact, oxygen radical activity has been reported to be correlated with disease severity and prognosis in patients with severe sepsis or septic shock. Accordingly, we aim to assess the usefulness of oxygen free radical and antioxidant concentrations to predict the disease severity and mortality in a cohort of critically ill surgical patients.
Methods/Design
This is a prospective observation study including patient demographic characteristics, clinical information, blood sampling/serum oxygen radical activity, serum antioxidant activity, serum antioxidant concentrations (zinc, selenium and glutamate), disease severity scores, outcomes, lengths of stay in intensive care unit, hospital 30-day mortality.
【 授权许可】
2013 Shim et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140705022600513.pdf | 455KB | download |
【 参考文献 】
- [1]Galley H: Bench-to-bedside review: targeting antioxidants to mitochondria in sepsis. Crit Care 2010, 14:230.
- [2]Noveanu M, Mebazaa A, Mueller C: Cardiovascular biomarkers in the ICU. Curr Opin Crit Care 2009, 15:377-383.
- [3]Piechota M, Banach M, Irzmanski R, Barylski M, Piechota-Urbanska M, Kowalski J: Plasma endothelin-1 levels in septic patients. J Intensive Care Med 2007, 22:232-239.
- [4]Kotsovolis G, Kallaras K: The role of endothelium and endogenous vasoactive substances in sepsis. Hippokratia 2010, 14:88-93.
- [5]Kumar A, Brar R, Wang P, Dee L, Skorupa G, Khadour F: Role of nitric oxide and cGMP in human septic serum-induced depression of cardiac myocyte contractility. Am J Physiol 1999, 276:R265-R276.
- [6]van der Poll T, van Zoelen MA, Wiersinga WJ: Regulation of pro-and anti-inflammatory host responses. Contrib Microbiol 2011, 17:125-136.
- [7]Gustot T: Multiple organ failure in sepsis: prognosis and role of systemic inflammatory response. Curr Opin Crit Care 2011, 17:153-159.
- [8]Galley HF: Oxidative stress and mitochondrial dysfunction in sepsis. Br J Anaesth 2011, 107:57-64.
- [9]Aksu U, Demirci C, Ince C: The pathogenesis of acute kidney injury and the toxic triangle of oxygen, reactive oxygen species and nitri oxide. Contrib Nephrol 2011, 174:119-128.
- [10]Schulte J, Struck J, Kohrle J, Muller B: Circulating levels of peroxiredoxin 4 as a novel biomarker of oxidative stress in patients with sepsis. Shock 2011, 35:460-465.
- [11]Berger M, Chiolero R: Antioxidant supplementation in sepsis and systemic inflammatory response syndrome. Crit Care Med 2007, 35:S584-S590.
- [12]Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O: Oxidative stress and antioxidant defense. World Allergy Organ J 2012, 5:9-19.
- [13]Dare A, Phillips A, Hickey A, Mittal A, Loveday B, Thompson N: A systematic review of experimental treatments for mitochondrial dysfunction in sepsis and multiple organ dysfunction syndrome. Free Radic Bio Med 2009, 47:1517-1525.
- [14]Rocha M, Herance R, Rovira S, Hernandez-Mijares A, Victor VM: Mitochondrial dysfunction and antioxidant therapy in sepsis. Infect Disord Drug Targets 2012, 12:161-178.
- [15]Hatwalne MS: Free radical scavengers in anaesthesiology and critical care. Indian J Anaesth 2012, 56:227-233.
- [16]Crimi E, Sica V, Williams-Ignarro S, Zhang H, Slutsky AS, Ignarro LJ: The role of oxidative stress in adult critical care. Free Radic Biol Med 2006, 40:398-406.
- [17]Abiles J, de la Cruz AP, Castano J, Rodriquez-Elvira M, Aquavo E, Moreno-Torres R: Oxidative stress is increased in critically ill patients according to antioxidant vitamins intake, independent of severity: a cohort study. Crit Care 2006, 10:R146. BioMed Central Full Text
- [18]Huet O, Dupic L, Harrois A, Duranteau J: Oxidative stress and endothelial dysfunction during sepsis. Front Biosci 2011, 16:1986-1995.
- [19]Kumar Y, Singh G, Davidson B: Free radical and antioxidant levels in patients with secondary peritonitis and their prognostic significance. Dig Surg 2007, 24:331-337.
- [20]Oldham KM, Bowen PE: Oxidative stress in critical care: is antioxidant supplementation beneficial? J Am Diet Assoc 1998, 98:1001-1008.
- [21]Cadenas S, Cadenas A: Fighting the stranger-antioxidant protection against endotoxin toxicity. Toxicology 2002, 180:45-63.
- [22]Nathens A, Neff M, Jurkovich G: Randomized, prospective trial of antioxidant supplementation in critically ill surgical patients. Ann Surg 2002, 236:814-822.
- [23]Oliveira GP, Dias CM, Pelosi P, Rocco PR: Understanding the mechanisms of glutamine action in critically ill patients. An Acad Bras Cienc 2010, 82:417-430.
- [24]Andrews PJ, Avenell A, Noble DW, Campbell MK, Croal BL, Simpson WG: Randomised trial of glutamine, selenium, or both, to supplement parenteral nutrition for critically ill patients. BMJ 2011, 342:d1542.
- [25]Linko R, Karlsson S, Pettilä V, Varpula T, Okkonen M, Lund V: Serum zinc in critically ill adult patients with acute respiratory failure. Acta Anaesthesiol Scand 2011, 55:615-621.
- [26]Cander B, Dundar ZD, Gul M, Girisgin S: Prognostic value of serum zinc levels in critically ill patients. J Crit Care 2011, 26:42-46.
- [27]Valenta J, Brodska H, Drabek T, Hendl J, Kazda A: High dose selenium substitution in sepsis: a prospective randomized clinical trial. Intensive Care Med 2001, 37:808-815.
- [28]Giladi AM, Dossett LA, Fleming SB, Abumrad NN, Cotton BA: High-dose antioxidant administration is associated with a reduction in post-injury complications in critically ill trauma patients. Injury 2011, 42:78-82.
- [29]Rosenfeldt F, Wilson M, Lee G, Kure C, Ou R, Braun L: Oxidative stress in surgery in an ageing population: pathophysiology and therapy. Exp Gerontol 2013, 48:45-54.
- [30]von Dessauer B, Bongain J, Molina V, Quilodran J, Castillo R, Rodrigo R: Oxidative stress as a novel target in pediatric sepsis management. J Crit Care 2011, 26:103.e1-103.e7.