[Suicides and forensic pathology sources in Spain].

نویسندگان

  • Alexandre Xifró
  • Josep M Suelves
  • Carles Martin-Fumadó
  • Esperanza L Gómez-Durán
چکیده

values. Thanks to a more detailed statistical analysis, Bushinsky et al. show that, by restricting the range of HCO3 values to a maximum of 10 mEq/L, the slope of the linear regression acquires a value of 1.5 (exactly the same slope reported by Winters), while the slope reaches 1.2 for values of HCO3 between 10.1 and 25 mEq/L. To summarise, in our opinion, the more accurate way to predict the expected value of pCO2 in chronic metabolic acidosis, and hence to correctly deduce the presence of mixed acid-base disorders, is by using different formulae according to the range of HCO3 values. Therefore, if the value of HCO3 is greater than 10 mEq/L, as it usually happens, Bushinsky’s formula should be considered. The use of Winters’ formula seems appropriate only for lower values of HCO3. For these reasons, in the cases reported by Rubio et al., where the value of HCO3 is much greater than 10 mEq/L, although the use of Winters’ formula leads to the correct diagnosis (i.e., mixed acidosis), we conclude that a more orthodox approach would be to resort to the formulae of Bushinsky et al. References

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عنوان ژورنال:
  • Revista de psiquiatria y salud mental

دوره 8 1  شماره 

صفحات  -

تاریخ انتشار 2015