Identifying high-risk undifferentiated emergency department patients with hyperlactatemia: Predictors of 30-day in-hospital mortality.
Ayşen Aydın KaçarErsin AksayBaşak BayramEmre KıranBahar Elif GüldalıPublished in: Turkish journal of emergency medicine (2024)
A second lactate measurement more accurately predicts in-hospital mortality than lactate clearance and the first lactate level in ED patients. Nursing home patients, bed-ridden patients, hypotensive patients on initial ED presentation, patients without lactate normalization, and patients with a final diagnosis of acute renal failure, septic shock, and acute coronary syndrome had a higher mortality rate.
Keyphrases
- end stage renal disease
- emergency department
- ejection fraction
- chronic kidney disease
- acute coronary syndrome
- peritoneal dialysis
- prognostic factors
- type diabetes
- coronary artery disease
- intensive care unit
- hepatitis b virus
- patient reported outcomes
- septic shock
- cardiovascular events
- acute respiratory distress syndrome