Dynamic lactate indices as predictors of outcome in critically ill patients
Alistair Nichol, Michael Bailey, Moritoki Egi, Ville Pettila, Craig French, Edward Stachowski, Michael C Reade, David James Cooper, Rinaldo Bellomo
CRITICAL CARE | BMC | Published : 2011
INTRODUCTION: Dynamic changes in lactate concentrations in the critically ill may predict patient outcome more accurately than static indices. We aimed to compare the predictive value of dynamic indices of lactatemia in the first 24 hours of intensive care unit (ICU) admission with the value of more commonly used static indices. METHODS: This was a retrospective observational study of a prospectively obtained intensive care database of 5,041 consecutive critically ill patients from four Australian university hospitals. We assessed the relationship between dynamic lactate values collected in the first 24 hours of ICU admission and both ICU and hospital mortality. RESULTS: We obtained 36,673 l..View full abstract
No financial support was received for the collation of this article. However, AN receives a Victorian Neurotruama Initiative (VNI) Early Career Practitioner Fellowship and RB receives a National Health and Medical Research Council (NHMRC) Practitioner Fellowship.