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Prognostic Value of Serum Lactate Levels in Critically Ill Patients in an Intensive Care Unit Cover

Prognostic Value of Serum Lactate Levels in Critically Ill Patients in an Intensive Care Unit

Open Access
|Jan 2020

Figures & Tables

Fig. 1

Kaplan-Meier curve for the probability of survival in patients admitted to the ICU concerning serum lactate levels.
Kaplan-Meier curve for the probability of survival in patients admitted to the ICU concerning serum lactate levels.

Results of the Cox regression analysis_

VariableAHR95% ICP
Serum lactate1,281,07-1,530,008
APACHE II1,071,00-1,140,06
SOFA0,960,89-1,030,258
Excess Base1,020,97-1,070,417

Analytical values and physiological variables in the first six hours after admission to the ICU_

VariableSerum lactate >2 mmol/l (N= 80)Serum lactate ≤ 2 mmol/l (N= 65)P
Leukocytes / mm3, median (IQR **)12,5 (8,7-18,9)11,6 (8,5-14,3)0,055
Hematocrit (%), median (IQR **)31,2 (5,8)32 (8,3)0,482
Platelet count / mm3, median (IQR **)200 (164,3-279,0)200 (170,0-239,0)0,510
Blood Glucose (mmol/l), median (IQR **)7,2 (5,9-8,9)6,8 (58,7-9,6)0,066
Aminotransferase Aspartate (u/l), median (IQR **)42,5 (29,3-75,6)41,0 (31,5-69,5)0,469
Aminotransferase Alanine (u/l), median (IQR **)40,0 (28,3-60,0)40,0 (29,0-58,0)0,124
Albumin (g/l), median (IQR **)33,0 (27,3-37,0)35,0 (28,0-38,0)0,164
Creatinine (Mmol / l), median (IQR **)90,5 (66,3-129,5)86 (68,5-114,0)0,044
PH, median (IQR **)7,41 (7,35-7,45)7,42 (7,37-7,45)0,225
PCO2 (mmHg), median (IQR **)35,3 (21,1-42,8)35,0 (30,1-42,6)0,08
PO2 (mmHg), median (IQR **)86,5 (70,0-115,3)90,0(72,9-115,0)0,175
Base Excess, median (IQR **)-0,7 (-4,1-2,6)-0,1 (-3,6-2,2)0,341
Bicarbonate, median (IQR **)23,4 (20,9-26,0)24,0 (19,9-26,3)0,407
PO2 / FiO2, average (SD *)306,9 (137,8)341,5 (117,9)0,232
D(A-a)O2, median (IQR **)81,0 (29,2-140,6)56,6 (17,5-97,7)0,241
Sodium (mmol / l), median (IQR **)136,0 (132,0-141,0)133,0 (130,0-138,5)0,056
Potassium (mmol / l), median (IQR **)3,8 (3,4-4,2)3,7 (3,4-4,2)0,845
Heart Rate (bpm), average (SD *)93,9 (21,0)97,3 (18,5)0,374
Respiratory rate (rpm), median (IQR **)22,0 (19,0-25,8)21,0 (20,0-25,0)0,252
Medium Arterial Tension (mmHg), median (IQR **)92,3 (82,1-99,8)93 (80,5-102,2)0,021

General characteristics of the population, stratified according to serum lactate values in the first six hours after admission to the ICU_

VariableSerum lactate >2mmol/ (N=80)Serum lactate ≤ 2mmol/l (N=65)P
Age, average (SD)53,9 (16,8)45,1 (17,6)0,203
Sex, n (%)
Male46 (57,5)26 (40,0)0,860
Female34 (42,5)39 (60,0)
Apache II, median (IQR **)14 (11,0-20,0)8 (5,0-13,0)0,002
SOFA, median (IQR **)10,5 (6,0-15,0)5 (1,5-8,0)0,098
Cause of admission to the ICU, n (%)
Cardiovascular8 (10,0)1 (1,5)0,520
Pulmonary6 (7,5)7 (10,8)0,463
Neurological6 (7,5)5 (7,7)0,691
Traumatic26 (32,5)19 (29,2)0,05
Infectious16 (20,0)11 (16,9)0,041
Gastrointestinal8 (10,0)8 (12,3)0,738
Poisoning1 (1,3)4 (6,2)0,583
Other9 (11,3)10 (15,4)0,124
Hemodynamic support, n (%)14 (17,5)4 (6,2)0,008
Use Mechanical Ventilation, n (%)25 (31,3)21(32,3)<0,0001
Stay in ICU, median (IQR **)5,0 (4,0-7,0)6,0 (4,0-7,5)0,756
DOI: https://doi.org/10.2478/jccm-2020-0005 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 59 - 64
Submitted on: Nov 18, 2019
Accepted on: Jan 29, 2020
Published on: Jan 31, 2020
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2020 Hedgar Berty Gutiérrez, Yenisey Arteaga Concepción, Jorge Soneira Pérez, Yanín Díaz Lara, Félix Mario Rivero López, Pedro Rosales Contreras, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.