The relationship between the serum lactate level and in-hospital mortality after decompressive craniectomy in traumatic brain Injury
Anesthesia and Pain Medicine
; : 192-195, 2015.
Article
in Ko
| WPRIM
| ID: wpr-83783
Responsible library:
WPRO
ABSTRACT
BACKGROUND: The patients with traumatic brain injury showed ischemia due to increased intracranial pressure. This study evaluated the relationship of pre-anesthetic serum lactate level with in-hospital mortality. METHODS: The archived medical records of 121 patients were retrospectively reviewed. Demographics and preoperative serum lactate level were analyzed. RESULTS: Of the 121 patients, 32 patients expired in the hospital after decompressive craniectomy. Preoperative serum lactate levels were 3.2 +/- 2.2 mmol/L in the survivors and 5.4 +/- 3.0 mmol/L in the dead (P = 0.001), and the receiver operating characteristic curve revealed that a cut off value of 3.60 mmol/L was reasonable for predicting mortality. CONCLUSIONS: Preoperative serum lactate level is highly correlated with in-hospital mortality after decompressive craniectomy in traumatic brain injury.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Brain Injuries
/
Intracranial Pressure
/
Demography
/
Medical Records
/
Retrospective Studies
/
ROC Curve
/
Mortality
/
Hospital Mortality
/
Survivors
/
Lactic Acid
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
Ko
Journal:
Anesthesia and Pain Medicine
Year:
2015
Type:
Article