HMGB1 Release From Hemorrhagic Shock Patients
Study Details
Study Description
Brief Summary
It is reported that high mobility group box 1 (HMGB1), a non-histone nuclear protein, can serve as an alarmin with damage associated molecular patterns to activate immune responses in the early stages of hemorrhagic shock (HS). However, the origin of HMGB1 and how it is released following HS is poorly understood. In this study, we teased out this mechanism. We try to record the concentration of serum HMGB1 protein following HS in clinical patients.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The study was approved by the First People's Hospital of Chenzhou, Hunan, P.R. China. Consent was obtained from patients in their hospital course. Eighteen patients were enrolled for each group. In addition, Acute Physiological and Chronic Health Evaluation II (APACHE II) score was used to evaluate the severity and morbidity of HS patients Serial blood samples were collected at indicated time points on hospital admission for HS patients (0, 2, 4, 8, 24, and 72 h following HS). Levels of HMGB1 were detected by ELISA according to the kit manufacturer's instructions.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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voluteer group No treatment, only blood sample collection |
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hemorrhagic shock group HS was defined as out-of-hospital systolic blood pressure (SBP) of 70 mmHg or less or SBP ranging 71 to 90 mmHg with a heart rate of 108 beats/min or more. Exclusion criteria were pregnancy, <15 years old, more than 2,000 mL of intravenous fluids or blood before enrollment, hypothermia, drowning, asphyxia, burns, isolated penetrating head injury, time of call received by dispatch to study intervention longer than 4 h, known prisoners, and transfer from another hospital |
Outcome Measures
Primary Outcome Measures
- serum HMGB1 concentration [24 hours following hemorrhagic shock]
the concentration of serum HMGB1 were progressively increased following Hemorrhagic shock
Eligibility Criteria
Criteria
Inclusion Criteria:
Hemorrhagic shock (HS) was defined as out-of-hospital systolic blood pressure (SBP) of 70 mmHg or less or SBP ranging 71 to 90 mmHg with a heart rate of 108 beats/min or more.
Exclusion Criteria:
pregnancy, <18 years old, more than 2,000 mL of intravenous fluids or blood before enrollment, hypothermia, drowning, asphyxia, burns, isolated penetrating head injury, time of call received by dispatch to study intervention longer than 4 h, known prisoners, and transfer from another hospital
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | The First Hospital of Chenzhou | Chenzhou | Hunan | China | 450003 |
Sponsors and Collaborators
- Xingui Dai
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HSHMGB12018