>Year 2018, Issue 3
Trujillo RN, López RSM, Méndez RR, Villagómez OAJ, Rosas BJV
Lactate/albumin index as a sepsis mortality predictor and septic shock
Rev Asoc Mex Med Crit y Ter Int 2018; 32 (3)
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Introduction: The correlation between lactate and serum albumin seems to be a novel alternative for estimating mortality. These are serum markers that are routinely used, which means that there is no increase in the expenditure of resources.
General objective: To report the relationship of lactate/albumin index in patients with sepsis and septic shock with mortality after intensive care.
Material and methods: A historical cohort study was performed, where a sample of 30 patients was calculated from which the data were collected in the instrument, taken from the clinical file.
Results: The lactate/albumin index was a good prognostic marker for the determination of mortality in sepsis and in septic shock with statistical significance p ‹ 0.001. It fulfills the hypothesis by showing that a lactate/albumin index greater than 1.7 was correlated with a Mortality greater than 40% in sepsis. We found a strong relationship with lactate clearance in six hours with satisfactory results as a predictor of mortality. The lactate / albumin index was not related to the development of multiple organ dysfunction.
Conclusions: The lactate/albumin index greater than 1.7 is related to a mortality greater than 40% in patients with sepsis. There is no relationship of the lactate / albumin index with the development of DOM. There is a positive correlation of the index with the predictive scales of SAPS, APACHEII and SOFA. The area under the ROC curve was higher for the lactate/albumin index and lactate clearance at 6 hours, as compared to the prognostic scales.
||Lactate and albumin association, mortality, septic shock, sepsis, index.
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>Year 2018, Issue 3