Efficacy of Initial Lactate and Lactate Clearance by Emergency Department Treatment in Diabetic Ketoacidosis Patients
Journal of the Korean Society of Emergency Medicine
; : 659-664, 2017.
Artículo
en Coreano
| WPRIM (Pacífico Occidental)
| ID: wpr-53380
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE:
Diabetic ketoacidosis (DKA) is a fatal complication caused by unregulated diabetes. Lactate is used as a prognostic indicator for a range of serious illnesses and its level is higher in DKA patients. This study examined the utility of lactate and lactate clearance measurements at an emergency department for predicting the prognosis of DKA patients.METHODS:
This was a retrospective, observational study of patients with DKA presenting to the emergency department of an urban and rural tertiary hospital between January, 2013 and December, 2016. The demographic and laboratory data were collected through a chart review.RESULTS:
Seventy-six patients with DKA were included. Of these 76 patients, 46 (56.8%) had lactic acidosis (lactate >2.5 mmol/L) and 24 (29.6%) had a high lactate level (>4 mmol/L). Lactate and lactate clearance showed a significant difference in terms of the intensive care unit length of stay and mortality.CONCLUSION:
Lactate and lactate clearance measurements in DKA patients are favorable and significant prognostic factors. In DKA patients, serial measurements of lactate should be considered.
Texto completo:
Disponible
Contexto en salud:
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
Problema de salud:
Diabetes Mellitus
/
Enfermedades del Sistema Endocrino
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Pronóstico
/
Acidosis Láctica
/
Estudios Retrospectivos
/
Mortalidad
/
Cetoacidosis Diabética
/
Ácido Láctico
/
Urgencias Médicas
/
Servicio de Urgencia en Hospital
/
Centros de Atención Terciaria
/
Estudio Observacional
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Año:
2017
Tipo del documento:
Artículo