Point-of-care system to assess the risk of trauma-induced acute respiratory distress syndrome

用于评估创伤引起的急性呼吸窘迫综合征风险的护理点系统

• 批准号: 10594793
• 负责人: Ian M White
• 金额: $ 39.28万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10594793
• 关键词: Accident and Emergency department; Acute; Acute Respiratory Distress Syndrome; Admission activity; Alkanes; Anti-Inflammatory Agents; Antibodies; Automation; Benchmarking; Binding; Biological Assay; Blood; Blood Vessels; Blood capillaries; Blood specimen; Body part; Cell Death; Cells; Circulation; Clinical; Cytolysis; DNA; Data; Death Rate; Detection; Diagnostic; Early Diagnosis; Edema; Environment; Enzyme-Linked Immunosorbent Assay; Fingers; Freeze Drying; Goals; Hemorrhage; Heparin; Histones; Immune; Incidence; Infection; Inflammatory Response; Injury; Intellectual Property; Investments; Label; Life; Link; Lung; Manuals; Measurement; Measures; Morbidity - disease rate; Operating Rooms; Optics; Organ; Outcome; Patient risk; Patients; Performance; Phase; Point-of-Care Systems; Preventive treatment; Reagent; Refrigeration; Reporting; Research; Respiration Disorders; Risk; Risk Assessment; Sampling; Secure; Shock; Syndrome; System; Technology; Temperature; Thrombosis; Trauma; Trauma patient; Traumatic injury; Tube; Vacuum; Validation; Venous; Whole Blood; commercialization; design; diagnostic technologies; diagnostic tool; improved; innovation; instrument; invention; lung failure; lung injury; meetings; mortality; neutrophil; point of care; point of injury; portability; preservation; prevent; prototype; sample collection; trauma centers

PROJECT SUMMARY/ABSTRACT Trauma-induced acute respiratory dysfunction syndrome (ARDS) is a deadly condition in which lung failure results from a traumatic injury to another part of the body. Recently, several studies have established a link between circulating histones and lung failure. Traumatic injuries cause a massive amount of cell death, resulting in the release of high concentrations of histones into circulation, which can directly lead to ARDS, as histones damage the lungs. In addition, circulating histones exacerbate exaggerated pro- and anti- inflammatory responses that also result in damage to the lungs and other organs. Identification and quantification of trauma-triggered circulating histones would provide an approach to assess the risk of ARDS, which could enable life-saving therapies before a patient develops ARDS. Diagnostic solutions to provide early detection of histones following trauma should be portable and rapid in order to assess the patient soon after the injury occurs. Currently, however, there are no portable and rapid approaches that enable detection of circulating histones to assess a trauma patient’s risk of developing ARDS. Our goal is to develop a diagnostic tool that is capable of quantitatively assessing the risk of trauma-induced ARDS at the point of care. This may include at the point of injury, in the transport vehicle to a trauma center, in the Emergency Department (ED), or in the operating room (OR). We have invented a Portable Histone Assay Technology (PHAST) that can quantify circulating histones directly from whole blood within 30 minutes. .

项目总结/摘要 创伤引起的急性呼吸功能障碍综合征（ARDS）是一种致命的疾病， 是身体其他部位的创伤造成的最近，几项研究表明 循环组蛋白与肺衰竭之间的关系。创伤会导致大量细胞死亡， 导致高浓度的组蛋白释放到循环中，这可直接导致ARDS，如 组蛋白会损害肺部。此外，循环组蛋白加剧了过度的亲和反- 炎症反应也会导致肺和其他器官的损伤。识别和 创伤触发的循环组蛋白的定量将提供一种评估ARDS风险的方法， 这可以在患者发展为ARDS之前进行挽救生命的治疗。提供早期诊断解决方案 创伤后组蛋白的检测应该是便携和快速的， 伤害发生了。然而，目前还没有便携式和快速的方法能够检测 循环组蛋白来评估创伤患者发展为ARDS的风险。我们的目标是开发一种诊断 能够在护理点定量评估创伤诱导的ARDS风险的工具。这可能 包括在受伤时、在送往创伤中心的运输工具中、在急诊室（艾德）中，或 手术室（OR）我们发明了一种便携式组蛋白测定技术（PHAST）， 在30分钟内直接从全血中定量循环组蛋白。 .