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Cited by 846

The DOI matches its Crossref record; 88 of the 88 references it cites were found in a registry or an index.

The systemic immune response to trauma: an overview of pathophysiology and treatment

Open access
Lord, Janet M, Midwinter, Mark J, Chen, Yen-Fu, Belli, Antonio, Brohi, Karim, Kovacs, Elizabeth J, Koenderman, Leo, Kubes, Paul, Lilford, Richard J·2014·The Lancet

Abstract

Improvements in the control of haemorrhage after trauma have resulted in survival of many people who would otherwise have died from the initial loss of blood. However, the danger is not over once bleeding has been arrested and blood pressure restored. Two-thirds of patients who die following major trauma now do so as a result of causes other than exsanguination. Trauma evokes a systemic reaction that include an acute, non-specific, immune response associated, paradoxically, with reduced resistance to infection. The result is damage to multiple organs caused by the initial cascade of inflammation aggravated by subsequent sepsis to which the body has become susceptible. This Series examines the biological mechanisms and clinical implications of the cascade of events caused by large-scale trauma that leads to multiorgan failure and death, despite the stemming of blood loss. Furthermore, the stark and robust epidemiological finding – namely, that age has a profound influence on the chances of surviving trauma irrespective of the nature and severity of the injury – will be explored. Advances in our understanding of the inflammatory response to trauma, the impact of ageing on this response, and how this information has led to new and emerging treatments aimed at combating immune dysregulation and reduced immunity after injury will also be discussed.

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Metadata

Authors
Lord, J. M., Midwinter, M. J., Chen, Y.-F., Belli, A., Brohi, K., Kovacs, E. J., Koenderman, L., Kubes, P., & Lilford, R. J.
Venue
The Lancet
Publisher
Elsevier BV
Published
2014-10
Volume
384
Issue
9952
Pages
1455-1465
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W2164007663
Cited by
846
References
88
FWCI
20.22
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: The systemic immune response to trauma: an overview of pathophysiology and treatment. https://app.cochat.ai/papers/10.1016/s0140-6736(14)60687-5
The paper
Lord, J. M., Midwinter, M. J., Chen, Y.-F., Belli, A., Brohi, K., Kovacs, E. J., Koenderman, L., Kubes, P., & Lilford, R. J. (2014). The systemic immune response to trauma: an overview of pathophysiology and treatment. The Lancet. https://doi.org/10.1016/s0140-6736(14)60687-5

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.