About this trial

Traumatic injury followed by critical illness provokes pathophysiologic changes in the bone marrow and the gut that contribute to persistent anemia and changes in the microbiome which significantly impact long-term recovery. This project will define the interactions between the stress, chronic inflammation, bone marrow dysfunction, and an altered microbiome which will provide a strong foundation for future clinical interventions to help improve outcomes following severe trauma.

Eligibility criteria

Qualifiers

All adults (age ≥18).

Blunt trauma with an injury severity score > 15 and a long bone or pelvic fracture requiring open reduction internal fixation or intramedullary fixation

Blunt trauma patients with shock, defined by either a systolic BP (SBP) <90 mm Hg or base deficit (BD) ≥5 meq or lactate ≥ 2 mmol/L or active red blood cell or whole blood transfusion within 6h or arrival

Disqualifiers

Patients not expected to survive greater than 48 hours

Prisoners

Pregnancy

Previous bone marrow transplantation

Trial design

Treatments tested in this trial

  • Data and tissue collection

Treatment groups

275 Participants
are divided into 2 treatment groups

Locations

3
UF Academic Research Building32610, GainesvilleFlorida, United States
UF Health at Shands Hospital32610, GainesvilleFlorida, United States
UF Laboratory of Inflammation Biology and Surgical Science and Shands Hospital at UF32610, GainesvilleFlorida, United States

Sponsors and collaborators

University of Florida

Lead sponsor

National Institutes of Health (NIH)

Collaborator

National Institute of General Medical Sciences (NIGMS)

Collaborator