Blood Lactate Is a Useful Indicator for the Medical Emergency Team

المؤلفون المشاركون

Johansson, Joakim
Schollin-Borg, Maria
Nordin, Pär
Zetterström, Henrik

المصدر

Critical Care Research and Practice

العدد

المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-7، 7ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2016-03-03

دولة النشر

مصر

عدد الصفحات

7

التخصصات الرئيسية

الطب البشري

الملخص EN

Lactate has been thoroughly studied and found useful for stratification of patients with sepsis, in the Intensive Care Unit, and trauma care.

However, little is known about lactate as a risk-stratification marker in the Medical Emergency Team- (MET-) call setting.

We aimed to determine whether the arterial blood lactate level at the time of a MET-call is associated with increased 30-day mortality.

This is an observational study on a prospectively gathered cohort at a regional secondary referral hospital.

All MET-calls during the two-year study period were eligible.

Beside blood lactate, age and vital signs were registered at the call.

Among the 211 calls included, there were 64 deaths (30.3%).

Median lactate concentration at the time of the MET-call was 1.82 mmol/L (IQR 1.16–2.7).

We found differences between survivors and nonsurvivors for lactate and oxygen saturation, a trend for age, but no significant correlations between mortality and systolic blood pressure, respiratory rate, and heart rate.

As compared to normal lactate (<2.44 mmol/L), OR for 30-day mortality was 3.54 (p<0.0006) for lactate 2.44–5.0 mmol/L and 4.45 (p<0.0016) for lactate > 5.0 mmol/L.

The present results support that immediate measurement of blood lactate in MET call patients is a useful tool in the judgment of illness severity.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Schollin-Borg, Maria& Nordin, Pär& Zetterström, Henrik& Johansson, Joakim. 2016. Blood Lactate Is a Useful Indicator for the Medical Emergency Team. Critical Care Research and Practice،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1099526

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Schollin-Borg, Maria…[et al.]. Blood Lactate Is a Useful Indicator for the Medical Emergency Team. Critical Care Research and Practice No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1099526

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Schollin-Borg, Maria& Nordin, Pär& Zetterström, Henrik& Johansson, Joakim. Blood Lactate Is a Useful Indicator for the Medical Emergency Team. Critical Care Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1099526

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1099526