Trauma Clinical Trial
Official title:
Establishing 1H Nuclear Magnetic Resonance (NMR) Based Metabonomics Fingerprinting Profile for Severe Poly Trauma Patients
The aim of this study is to establish plasma metabonomics fingerprinting atlas for severe multiple trauma patient using 1H nuclear magnetic resonance (NMR) based metabonomics methodology and advanced mathematics tools.
Metabonomics is a set of measurements of the dynamic metabolic responses of living systems
to stimuli or modifications. This field of study developed from the application of nuclear
magnetic resonance (NMR) spectroscopy and mass spectrometry as tools for the study of
complex biofluids. Metabonomics is one of the emerging fields of systemic biology researches
concerned with the high-throughput identification, quantification and characterization of
small molecule metabolites. A metabonomics fingerprinting can be defined as the complete
complement of all small molecule (<1500 Da) metabolites found in a specific cell, body
fluid, organ or organism.
Severe poly trauma involves complex injuries that consist of multiple pathological
mechanisms involving cytotoxic, oxidation stress and immune-endocrine. The complexity of the
pathological physiology and biochemistry process are determined not only by the initial
mechanical assault, but also by secondary processes including abnormality of inflammation
regulation, ischemia, anoxia, free-radical formation, and immune dysfunction that occur over
hours and days following the injury. For the clinical perspective, one of the key
difficulties is to identify the most at-risk patients who could develop multiple organ
failures and consequently death.
This study aims to establish the dynamics of NMR-based metabonomics fingerprinting of severe
multi-trauma patients in order to provide a possible multiple organs failure (MOF) or death
event prediction.
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Observational Model: Cohort, Time Perspective: Prospective
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