Lactate as predictor of mortality in polytrauma.

Abstract

BACKGROUND:

The lactate is a product of anaerobic metabolism; it can be used as a marker on demand and availability of oxygen. Changes in lactate levels can be effectively used as a marker in resuscitation maneuvers, even in patients with stable vital signs.

AIM:

To verify the lactate clearance as a predictor of mortality in trauma patients, in need of intensive care.

METHOD:

A total of 851 patients were admitted in ICU, in which 146 were victims of multiple trauma; due to the exclusion criteria, were included 117.

RESULTS:

Patients were 87% male, mean age 32.4 years, motorcycle drivers, Glasgow coma scale between 3-8, affected by cranial trauma, followed by abdominal trauma. Was verified mortality up to 48 h and global mortality, that did not show statistical relationship between lactate clearance and mortality (p=0.928).

CONCLUSION:

There is no correlation between admission lactate or lactate clearance and mortality in patients treated with multiple trauma.

• Authors: Andréia Diane Freitas, Orli Franzon
• Journal: Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery (Arq Bras Cir Dig) 2015 Jul-Sep Vol. 28 Issue 3 Pg. 163-6 ISSN: 2317-6326 [Electronic] Brazil
• PMID: 26537138 (Publication Type: Journal Article, Observational Study)

Chemical References

• Lactic Acid

Topics

• Adult
• Cohort Studies
• Female
• Humans
• Lactic Acid (blood)
• Male
• Multiple Trauma (blood, mortality)
• Prognosis
• Retrospective Studies