Observational Study on Myeloid Activation After Sepsis and Trauma
This observational study aims to understand how severe trauma injuries affect your body's immune system, specifically focusing on certain blood cells (myeloid cells). Researchers want to see if severe trauma leads to a weakened immune system (immunosuppression) and increases your risk of getting infections in the hospital (sepsis). You can join if you are an adult aged 18 to 100 years old and have experienced a trauma injury, such as a broken bone, that requires surgery. The study will collect information from your medical records, take blood and a small bone marrow sample during your surgery, and ask you to complete surveys about your health and quality of life over 12 months. The main goal is to learn if your body's initial response to trauma is linked to a higher risk of sepsis and changes in your bone marrow cells.
- Study design
- This is an observational study with a planned enrollment of 255 participants. It is not a treatment study, but rather aims to understand how the body responds to trauma.
- What's involved
- You would provide medical record data, give blood and a bone marrow sample during surgery, and complete surveys at enrollment, hospital discharge or day 14, and at 3, 6, and 12 months, with a final telephone call at 12 months.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for an average of 12 months after enrollment, with the primary endpoint measured through study completion.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Pathological Myeloid Activation After Sepsis and Trauma
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Philip Efron, MD · PRINCIPAL_INVESTIGATOR · UF COM Department of Surgery
Who to contact
Opens a ready-to-send draft in your own email app — review before sending.
What this trial measures
- Test hypothesis that response to initial stimulus (trauma) is associated with a high risk of inhospital sepsis, the bone marrow (BM) hematopoietic stem and progenitor cells (HSPCs) promote immunosuppressive myelopoiesis at the expense of lymphopoiesis.Through study completion, an average of 12 months
With subsequent sepsis development, MDSCs induce their continued expansion through exocrine and paracrine signaling to HSPCs. HSPCs and MDSCs derived from severe blunt trauma patients will be analyzed for epigenetic (MAPit DNA methylation) and functional changes (ability to generate colony forming units (CFUs)) that initiate sepsis and continue the expansion of immunosuppressive MDSCs.