Lactate and Immunosuppression in Sepsis

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Lactate and Immunosuppression in Sepsis

Serum lactate levels are traditionally interpreted as a marker of tissue hypoxia and often used clinically as an indicator of severity and outcome of sepsis/septic shock. Interestingly, recent studies involving the effects of tumor-derived lactate suggest that lactate itself may have an immunosuppressive effect in its local environment. This finding adds to the recent advances in immunometaboli...

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OBJECTIVES There has been renewed interest in lactate as a risk biomarker in sepsis and septic shock. However, the ability of the odds ratio (OR) and change in the area under the receiver operator characteristic curve (AUC-ROC) to assess biomarker added-value has been questioned. DESIGN, SETTING AND PARTICIPANTS A sepsis cohort was identified from the ICU database of an Australian tertiary re...

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ژورنال

عنوان ژورنال: Shock

سال: 2018

ISSN: 1073-2322,1540-0514

DOI: 10.1097/shk.0000000000000958