Methods of identifying critically ill patients at increased...

A - Human Necessities – 61 – K

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A61K 31/557 (2006.01) A61K 31/727 (2006.01) A61K 39/395 (2006.01) A61P 29/00 (2006.01) A61P 31/04 (2006.01) A61P 43/00 (2006.01)

Patent

CA 2747310

The present invention relates to compounds for treatment that protects the endothelium, prevent pathologic thrombus formation in the microcirculation and preserve platelet number and function and thus may be related to minimizing or preventing development of organ failure, including multiple organ failure (MOF), and, hence, death in critically ill patients by administration of agent(s) limiting the platelets ability to aggregate and form clots and/or by agents modulating/preserving endothelial integrity and/or by agent(s) increasing the rate of thrombus lysis, and Another aspect of the invention related to by a cell-based whole blood viscoelastical haemostatic assay identifying critically ill patients at increased risk of development of organ failure, including multiple organ failure (MOF) and death.

La présente invention concerne des composés destinés à constituer un traitement protégeant l'endothélium, empêchant la formation d'un thrombus pathologique au niveau microcirculatoire et préservant le nombre de plaquettes et leur fonction. Il est ainsi possible de contribuer à minimiser ou empêcher la survenue d'une défaillance viscérale, notamment une défaillance polyviscérale, et par suite le décès de patients dans un état critique en leur administrant un ou plusieurs agents limitant l'aptitude des plaquettes à s'agglomérer et à former des caillots et/ou agents modulant ou préservant l'intégrité de l'endothélium et/ou agents augmentant la vitesse de la thrombolyse. Sous un autre de ses aspects, l'invention concerne un dosage hémostatique viscoélastique du sang total basé sur les cellules permettant d'identifier les patients dans un état critique présentant un risque accru de développer un défaillance viscérale, notamment une défaillance polyviscérale, pouvant entraîner la mort.

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