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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Association of an expanded inflammatory mediators response with clinical and laboratory data in the postoperative period of pulmonary resection: a prospective clinical study

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Author(s):
LUCIARA IRENE DE NADAI DIAS [1] ; VALESKA DALANEZI PAULINO LEITE [2] ; JÚLIA MENDES BRANDÃO [3] ; ANDREA PELICIA ROSO [4] ; ELIANA CRISTINA MARTINS MIRANDA [5] ; EDSON ANTUNES [6] ; RICARDO KALAF MUSSI [7]
Total Authors: 7
Affiliation:
[1] Unicamp. Cirurgia Torácica - Brasil
[2] Unicamp. Cirurgia Torácica - Brasil
[3] Unicamp. Cirurgia Torácica - Brasil
[4] Unicamp. Cirurgia Torácica - Brasil
[5] Unicamp. Cirurgia Torácica - Brasil
[6] Unicamp - Brasil
[7] Unicamp. Cirurgia Torácica - Brasil
Total Affiliations: 7
Document type: Journal article
Source: Rev. Col. Bras. Cir.; v. 48, 2021-11-22.
Abstract

ABSTRACT Introduction: patients undergoing pulmonary resection may experience local or remote complications in the postoperative period due to the inflammatory response, which increases the length of hospital stay and costs. This study objective was to establish an expanded interleukins profile, identifying the main actors in the postoperative inflammatory response, and to correlate them with clinical and laboratory data of patients submitted to pulmonary resection. Methods: this was a prospective, interventional, longitudinal study of 27 cases of pulmonary resection performed at HC-UNICAMP, in which we analyzed serum levels of IL 1 α, IL 1 β, IL 1 ra, IL 2, IL 13, IL 6, IL 8, IL 10, IL 12 (p40), IL 12 (p70), IL 17a, TNF α, TNF β, IFN γ, TGF β, MIP 1α, MIP 1β, MCP 1, MCP 3, VEGF, and clinical data before, during, and after surgery. Results: Individuals had a median age of 63 years, 16 (59%) being male and 11 (41%), female. The clinical factors that influenced inflammatory response were body mass index, smoking, and previous use of corticosteroids, while the influencing laboratory data were the numbers of leukocytes and platelets. Discussion: within this expanded interleukin profile in the inflammatory response of lung resections, our study showed that interleukins IL 6, IL 8, IL 10, IL 1 β, and TNF α should be considered for assessing humoral inflammation. Conclusion: this study can aid in the identification of clinical or pharmacological interventions that modulate the inflammatory response in the perioperative period of pulmonary resections, mitigating local and systemic complications. (AU)