Cytokines as biomarkers in polytraumatized patients

Research output: Contribution to journalReview articlepeer-review

Abstract

BACKGROUND: Multiple trauma can lead to posttraumatic complications such as systemic inflammatory response syndrome (SIRS), multiple organ dysfunction syndrome (MODS), and sepsis. Currently, these complications are monitored using clinical and organ-specific parameters. The immune system is activated by trauma. Cytokines, which are the messenger molecules of this system, can be determined in serum. Furthermore, they are associated with the intensity of the inflammatory and anti-inflammatory reactions.

AIM: This review describes clinical studies that measured cytokines such as TNF-α, IL-1β, IL-6, IL-8, and IL-10 to prognosticate posttraumatic complications. On the other hand, IL-6 can be helpful in deciding which primary operation to perform, i.e., external fixator or intramedullary nail. Moreover, IL-6 indicates the strength of the immune reaction. Thereby, it may help in determining the optimal time for secondary surgery.

Translated title of the contributionCytokines as biomarkers in polytraumatized patients
Original languageGerman
Pages (from-to)699-702
Number of pages4
JournalUnfallchirurg
Volume117
Issue number8
DOIs
Publication statusPublished - Aug 2014
Externally publishedYes

Keywords

  • Biomarkers/analysis
  • Cytokines/blood
  • Evidence-Based Medicine
  • Humans
  • Multiple Trauma/diagnosis
  • Systemic Inflammatory Response Syndrome/diagnosis

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