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Blood Lactate Level and the Predictor of Death in Non-shock Septic Patients by Nabhat Noparatkailas; Juthamas Inchai; Athavudh Deesomchok is a Medicine article available to read on EtoBox.

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## Abstract ## Objective To evaluate the association of initial blood lactate with mortality and subsequent septic shock in non-shock septic patients. ## Materials and methods A retrospective cohort study was conducted at Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University, Muang, Chiang Mai, Thailand. Inclusion criteria included septic patients admitted to a non-critical medical ward and had initial serum lactate at the emergency department (ED). Shock and other causes of hyperlactatemia were excluded. ## Results A total of 448 admissions were included with median age [interquartile range (IQR)] of 71 (59, 87) years and 200 males (44.6%). Pneumonia was the most common cause of sepsis (47.5%). The median systemic inflammatory response syndrome (SIRS) and quick sequential organ failure assessment (qSOFA) scores were 3 (2, 3) and 1 (1, 2), respectively. The median initial blood lactate was 2.19 (1.45, 3.23) mmol/L. The high blood lactate (≥2 mmol/L) group; __N__ = 248, had higher qSOFA and other predictive scores and had significantly higher 28 days mortality (31.9% vs 10.0%; __p__ < 0.001) and subsequent 3 days septic shock (18.1% vs 5.0%; __p__ < 0.001) than the normal blood

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Author

Nabhat Noparatkailas; Juthamas Inchai; Athavudh Deesomchok

Publisher

Jaypee Brothers Medical Publishing

Published

2023

Language

EN

Field

Medicine (Health Sciences)