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Paper Information

Journal:   RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)   2004 , Volume 9 , Number 2 (38); Page(s) 83 To 86.
 
Paper: 

RELATIONSHIP BETWEEN SERUM LACTATE AND PROGNOSIS IN PATIENT IN MOFID HOSPITAL PICU IN 1382

 
 
Author(s):  ARMIN SH., ELAHI MEHR N., SALEHPOUR SH., VALAEI NASER
 
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Abstract: 

Background: According to important of prognosis and quik decision making about treatment to patient in PICU, this study was carried to measure lactate in these patients and determines relation between serum lactate and prognosis. Lactete as the Result of the anaerobic metabolism demonstrate extent of hypoxia in ill patient.
Materials and methods: In a cross-sectional study, patients who admitted to PICU irrespect of cause of admission were selected. Lactate level on admission and after 24 hours was measured. APSC score and cause of admission were also recorded after measrement of in all patients. Serum lactete in admission and after 24 hours and APSC Score with higher sensitivity and specificity that can show increase mortality in these patients were determined.
Results: 68.8% of patients were male and 31.2% were female. Mortality rate was 31.2%. Serum lactate above 1.5 mmol/1 on admission and more than 1 mmol/l after 24hr and APSC>14 had correlation with mortality and increase it.
Conclusion: Measurement of serum latete as a rapid and inexpensive test is recommended in pediatric patients in PICU to determine the prognosis and outcomes.

 
Keyword(s): SERUM LACTATE, PICU, PROGNOSIS, PEDIATRICS
 
References: 
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