Micronutrient deficiencies are common in critically ill patients and may significantly delay recovery. Current diagnostic methods are often insufficient. As a result, clinical care often relies on fixed-dose supplementation instead of personalised treatment strategies.
Within the
Marie Skłodowska-Curie Actions–funded BIO-MICRO project, this PhD project aims to improve diagnostic approaches for assessing functional micronutrient status using innovative analytical methods. Improved diagnostics may help identify patient subphenotypes that are most likely to benefit from targeted micronutrient therapy.
A multicentre, prospective, observational clinical study will be conducted with four cohorts of 55 participants each, representing increasing severity of expected micronutrient deficiencies:
- healthy volunteers;
- patients undergoing elective cardiac surgery;
- critically ill patients;
- burn patients.
Serial measurements of micronutrient concentrations will be performed in serum, leukocytes and erythrocytes. These measurements will be combined with biomarkers of inflammation and oxidative stress. Using integrated laboratory and clinical data, empirically derived algorithms will be developed to identify patient subphenotypes through latent profile analysis.
Research Fellowship 5 (RF5): Functional micronutrient status in critically ill patientsDuration: 48 months
Supervisors: - Dr Angelique de Man (Amsterdam UMC)
- Dr Maurits de Rotte (Amsterdam UMC)
- Dr Lennard Dekker (Reinier Haga Medical Diagnostic Center)
- Dr Linda IJsselstijn (Reinier Haga Medical Diagnostic Center)
As a PhD candidate, you will coordinate this multicentre observational clinical study. You will:
- include patients in the study;
- obtain deferred consent from family members;
- ensure the collection of serial blood samples;
- perform laboratory analyses to assess functional micronutrient status;
- maintain accurate data entry in the electronic case report form.
You will also oversee study activities across all participating centres.
During the secondments, you will contribute to translating research outcomes into clinical practice. This includes working on the commercialisation of micronutrient assays in erythrocytes and leukocytes.