Blood Lactate Is a Useful Indicator for the Medical Emergency Team
Joint Authors
Johansson, Joakim
Schollin-Borg, Maria
Nordin, Pär
Zetterström, Henrik
Source
Critical Care Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-03-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099526