Background: Trauma is a global public health problem that claimed 5.1 milli
on lives in 1990. Twenty percent of these deaths occurred days to weeks aft
er injury and were due to sepsis or organ failure. Therapies to improve sur
vival outcome after injury are limited by our inability to accurately strat
ify trauma patients at risk for these complications. In this review, the ch
allenge of predicting post-traumatic complications is presented. There is p
otential for plasma DNA in diagnosis, prediction and monitoring non-traumat
ic disease. Conclusions: The mechanisms and clearance of plasma DNA have a
potential role as a predictor in trauma. (C) 2001 Elsevier Science B.V. All
rights reserved.