Skip to main content
Top
Published in: World Journal of Emergency Surgery 1/2013

Open Access 01-12-2013 | Study protocol

Correlation of the oxygen radical activity and antioxidants and severity in critically ill surgical patients – study protocol

Authors: Hongjin Shim, Ji Young Jang, Seung Hwan Lee, Jae Gil Lee

Published in: World Journal of Emergency Surgery | Issue 1/2013

Login to get access

Abstract

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.
Literature
1.
2.
go back to reference Noveanu M, Mebazaa A, Mueller C: Cardiovascular biomarkers in the ICU. Curr Opin Crit Care. 2009, 15: 377-383. 10.1097/MCC.0b013e32832e9705.CrossRefPubMed Noveanu M, Mebazaa A, Mueller C: Cardiovascular biomarkers in the ICU. Curr Opin Crit Care. 2009, 15: 377-383. 10.1097/MCC.0b013e32832e9705.CrossRefPubMed
3.
go back to reference 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. 10.1177/0885066607301444.CrossRefPubMed 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. 10.1177/0885066607301444.CrossRefPubMed
4.
go back to reference Kotsovolis G, Kallaras K: The role of endothelium and endogenous vasoactive substances in sepsis. Hippokratia. 2010, 14: 88-93.PubMedCentralPubMed Kotsovolis G, Kallaras K: The role of endothelium and endogenous vasoactive substances in sepsis. Hippokratia. 2010, 14: 88-93.PubMedCentralPubMed
5.
go back to reference 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.PubMed 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.PubMed
6.
go back to reference van der Poll T, van Zoelen MA, Wiersinga WJ: Regulation of pro-and anti-inflammatory host responses. Contrib Microbiol. 2011, 17: 125-136.CrossRefPubMed van der Poll T, van Zoelen MA, Wiersinga WJ: Regulation of pro-and anti-inflammatory host responses. Contrib Microbiol. 2011, 17: 125-136.CrossRefPubMed
7.
go back to reference Gustot T: Multiple organ failure in sepsis: prognosis and role of systemic inflammatory response. Curr Opin Crit Care. 2011, 17: 153-159. 10.1097/MCC.0b013e328344b446.CrossRefPubMed Gustot T: Multiple organ failure in sepsis: prognosis and role of systemic inflammatory response. Curr Opin Crit Care. 2011, 17: 153-159. 10.1097/MCC.0b013e328344b446.CrossRefPubMed
8.
go back to reference Galley HF: Oxidative stress and mitochondrial dysfunction in sepsis. Br J Anaesth. 2011, 107: 57-64. 10.1093/bja/aer093.CrossRefPubMed Galley HF: Oxidative stress and mitochondrial dysfunction in sepsis. Br J Anaesth. 2011, 107: 57-64. 10.1093/bja/aer093.CrossRefPubMed
9.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
10.
go back to reference 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. 10.1097/SHK.0b013e3182115f40.CrossRefPubMed 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. 10.1097/SHK.0b013e3182115f40.CrossRefPubMed
11.
go back to reference Berger M, Chiolero R: Antioxidant supplementation in sepsis and systemic inflammatory response syndrome. Crit Care Med. 2007, 35: S584-S590. 10.1097/01.CCM.0000279189.81529.C4.CrossRefPubMed Berger M, Chiolero R: Antioxidant supplementation in sepsis and systemic inflammatory response syndrome. Crit Care Med. 2007, 35: S584-S590. 10.1097/01.CCM.0000279189.81529.C4.CrossRefPubMed
12.
go back to reference Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O: Oxidative stress and antioxidant defense. World Allergy Organ J. 2012, 5: 9-19. 10.1097/WOX.0b013e3182439613.PubMedCentralCrossRefPubMed Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O: Oxidative stress and antioxidant defense. World Allergy Organ J. 2012, 5: 9-19. 10.1097/WOX.0b013e3182439613.PubMedCentralCrossRefPubMed
13.
go back to reference 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. 10.1016/j.freeradbiomed.2009.08.019.CrossRef 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. 10.1016/j.freeradbiomed.2009.08.019.CrossRef
14.
go back to reference 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. 10.2174/187152612800100189.CrossRefPubMed 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. 10.2174/187152612800100189.CrossRefPubMed
16.
go back to reference 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. 10.1016/j.freeradbiomed.2005.10.054.CrossRefPubMed 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. 10.1016/j.freeradbiomed.2005.10.054.CrossRefPubMed
17.
go back to reference 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: R146-10.1186/cc5068.PubMedCentralCrossRefPubMed 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: R146-10.1186/cc5068.PubMedCentralCrossRefPubMed
18.
go back to reference Huet O, Dupic L, Harrois A, Duranteau J: Oxidative stress and endothelial dysfunction during sepsis. Front Biosci. 2011, 16: 1986-1995. 10.2741/3835.CrossRef Huet O, Dupic L, Harrois A, Duranteau J: Oxidative stress and endothelial dysfunction during sepsis. Front Biosci. 2011, 16: 1986-1995. 10.2741/3835.CrossRef
19.
go back to reference 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. 10.1159/000106511.CrossRefPubMed 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. 10.1159/000106511.CrossRefPubMed
20.
go back to reference Oldham KM, Bowen PE: Oxidative stress in critical care: is antioxidant supplementation beneficial?. J Am Diet Assoc. 1998, 98: 1001-1008. 10.1016/S0002-8223(98)00230-2.CrossRefPubMed Oldham KM, Bowen PE: Oxidative stress in critical care: is antioxidant supplementation beneficial?. J Am Diet Assoc. 1998, 98: 1001-1008. 10.1016/S0002-8223(98)00230-2.CrossRefPubMed
21.
go back to reference Cadenas S, Cadenas A: Fighting the stranger-antioxidant protection against endotoxin toxicity. Toxicology. 2002, 180: 45-63. 10.1016/S0300-483X(02)00381-5.CrossRefPubMed Cadenas S, Cadenas A: Fighting the stranger-antioxidant protection against endotoxin toxicity. Toxicology. 2002, 180: 45-63. 10.1016/S0300-483X(02)00381-5.CrossRefPubMed
22.
go back to reference Nathens A, Neff M, Jurkovich G: Randomized, prospective trial of antioxidant supplementation in critically ill surgical patients. Ann Surg. 2002, 236: 814-822. 10.1097/00000658-200212000-00014.PubMedCentralCrossRefPubMed Nathens A, Neff M, Jurkovich G: Randomized, prospective trial of antioxidant supplementation in critically ill surgical patients. Ann Surg. 2002, 236: 814-822. 10.1097/00000658-200212000-00014.PubMedCentralCrossRefPubMed
23.
go back to reference 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. 10.1590/S0001-37652010000200018.CrossRefPubMed 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. 10.1590/S0001-37652010000200018.CrossRefPubMed
24.
go back to reference 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: d1542-10.1136/bmj.d1542.CrossRefPubMed 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: d1542-10.1136/bmj.d1542.CrossRefPubMed
25.
go back to reference 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. 10.1111/j.1399-6576.2011.02425.x.CrossRefPubMed 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. 10.1111/j.1399-6576.2011.02425.x.CrossRefPubMed
26.
go back to reference 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. 10.1016/j.jcrc.2010.06.002.CrossRefPubMed 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. 10.1016/j.jcrc.2010.06.002.CrossRefPubMed
27.
go back to reference 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.CrossRef 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.CrossRef
28.
go back to reference 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. 10.1016/j.injury.2010.01.104.CrossRefPubMed 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. 10.1016/j.injury.2010.01.104.CrossRefPubMed
29.
go back to reference 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. 10.1016/j.exger.2012.03.010.CrossRefPubMed 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. 10.1016/j.exger.2012.03.010.CrossRefPubMed
30.
go back to reference 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. 10.1016/j.jcrc.2010.05.001.CrossRef 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. 10.1016/j.jcrc.2010.05.001.CrossRef
Metadata
Title
Correlation of the oxygen radical activity and antioxidants and severity in critically ill surgical patients – study protocol
Authors
Hongjin Shim
Ji Young Jang
Seung Hwan Lee
Jae Gil Lee
Publication date
01-12-2013
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2013
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-8-18

Other articles of this Issue 1/2013

World Journal of Emergency Surgery 1/2013 Go to the issue