Determination of plasma lactate in the emergency department for the early detection of tissue hypoperfusion in septic patients
To determine the validity of plasma lactate in the emergency department for the early detection of tissue hypoperfusion in septic patients. Longitudinal descriptive study. Non probabilistic sampling for convenience. Plasma lactate levels were determined in patients admitted to the emergency departme...
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Veröffentlicht in: | The American journal of emergency medicine 2018-08, Vol.36 (8), p.1418-1422 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | To determine the validity of plasma lactate in the emergency department for the early detection of tissue hypoperfusion in septic patients.
Longitudinal descriptive study. Non probabilistic sampling for convenience. Plasma lactate levels were determined in patients admitted to the emergency department with systemic inflammatory response data and clinical suspicion or documented infection. Follow-up was seven days. Complications were considered if the patients presented septic shock, severe sepsis, entry to intensive care or death.
Ninety patients were included. The mean age was 57.4±20.31. Fifty five percent (n=49) were women. 25% (n=22) of the patients showed complications. Plasma lactate levels were 1.55mmol/L in uncomplicated patients and 3.72mmol/L for complicated patients (p |
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ISSN: | 0735-6757 1532-8171 |
DOI: | 10.1016/j.ajem.2017.12.068 |