Are there prognostic factors for mortality in the septic patient in the ICU? The value of the serum lactate elimination rate 

Authors

  • Pedro Manuel Canales Lara MIR Anestesiología. Complejo Hospitalario Universitario de Albacete.
  • Luisa María Charco Roca FEA Anestesiología y Reanimación. Complejo Hospitalario Universitario de Albacete.
  • Jose María Jiménez Vizuete Jefe de Sección UCI- Anestesia. Complejo Hospitalario Universitario de Albacete.
  • Carlos Martínez Villar MIR Anestesiología. Complejo Hospitalario Universitario de Albacete.

DOI:

https://doi.org/10.30445/rear.v12i4.809

Keywords:

lactate elimination rate, lactate, mortality, septic shock, prognostic factor

Abstract

Sepsis is the first cause of death due to infection in the world and the prognosis is time dependent on effective treatment. There are numerous prognostic factors described in the literature, however there are just a few studies comparing them among them to assess if there is one with greater weight compared to others. The present article, with a sample of 82 patients, analyzes different prognostic factors in the first 24 hours of admission as survival indicators at 28 days. These are: lactate numbers, their elimination rate, central venous saturation and the difference between central arteriovenous oxygen saturation. The results show that the lactate levels at 24 hours are the ones with higher sensitivity-specificity (cut-off point of 2.15 mmol / dl), followed by the lactate levels at 12 and at 6 hours.

References

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Published

2020-09-10

How to Cite

Canales Lara, P. M., Charco Roca, L. M., Jiménez Vizuete, J. M., & Martínez Villar, C. (2020). Are there prognostic factors for mortality in the septic patient in the ICU? The value of the serum lactate elimination rate . Revista Electrónica AnestesiaR, 12(4), 2. https://doi.org/10.30445/rear.v12i4.809

Issue

Vol. 12 No. 4 (2020): Revista Electrónica de AnestesiaR

Section

Critical reviews of articles

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Copyright (c) 2020 Revista Electrónica AnestesiaR

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