Lactate clearance cut off for early mortality prediction in adult sepsis and septic shock patients
نویسندگان
چکیده
منابع مشابه
Early lactate clearance is associated with improved outcome in severe sepsis and septic shock.
OBJECTIVE Serial lactate concentrations can be used to examine disease severity in the intensive care unit. This study examines the clinical utility of the lactate clearance before intensive care unit admission (during the most proximal period of disease presentation) as an indicator of outcome in severe sepsis and septic shock. We hypothesize that a high lactate clearance in 6 hrs is associate...
متن کاملIs lactate clearance impaired in septic shock?
In a recent article in Critical Care, Tapia and colleagues evaluated the relationship between exogenous lactate clearance and liver perfusion in a short-term model of endotoxemic shock [1]. The authors concluded that the very low portal-hepatic vein lactate gradient was indicative of the inability of the liver to metabolize the increased lactate load. Although we believe that the authors addres...
متن کاملEarly actate levelsfor prediction of mortality in patients with sepsis or septic shock: a meta-analysis
Purpose: Early verification of septic patients at a higher risk of death is still a challenge. There exist several controversies that lactate measurement in septic patients predicted mortality. The present study aimed to explore the diagnostic accuracy of elevated early lactate levels in predicting mortality in septic or septic shock patients. Methods: Three databases including PubMed, Embase a...
متن کاملLactate clearance for death prediction in severe sepsis or septic shock patients during the first 24 hours in Intensive Care Unit: an observational study
BACKGROUND This study was design to investigate the prognostic value for death at day-28 of lactate course and lactate clearance during the first 24 hours in Intensive Care Unit (ICU), after initial resuscitation. METHODS Prospective, observational study in one surgical ICU in a university hospital. Ninety-four patients hospitalized in the ICU for severe sepsis or septic shock were included. ...
متن کاملDiastolic dysfunction and mortality in severe sepsis and septic shock.
AIMS Systolic dysfunction in septic shock is well recognized and, paradoxically, predicts better outcome. In contrast, diastolic dysfunction is often ignored and its role in determining early mortality from sepsis has not been adequately investigated. METHODS AND RESULTS A cohort of 262 intensive care unit patients with severe sepsis or septic shock underwent two echocardiography examinations...
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ژورنال
عنوان ژورنال: IOP Conference Series: Earth and Environmental Science
سال: 2018
ISSN: 1755-1307,1755-1315
DOI: 10.1088/1755-1315/125/1/012023