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Báo cáo y học: "Occurrence and adverse effect on outcome of hyperlactatemia in the critically ill"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Occurrence and adverse effect on outcome of hyperlactatemia in the critically ill. | Available online http ccforum.eom content 13 3 R90 Research Occurrence and adverse effect on outcome of hyperlactatemia in the critically ill Houman Khosravani1 Reza Shahpori1 H Thomas Stelfox1 2 3 Andrew W Kirkpatrick1 4 and Kevin B Laupland1 2 3 Department of Critical Care Medicine University of Calgary 1403 29th Street NW Calgary Alberta T2N 2T9 Canada department of Medicine University of Calgary 1403 29th Street NW Calgary Alberta T2N 2T9 Canada department of Community Health Sciences University of Calgary 1403 29th Street NW Calgary Alberta T2N 2T9 Canada department of Surgery University of Calgary 1403 29th Street NW Calgary Alberta T2N 2T9 Canada Corresponding author Kevin B Laupland kevin.laupland@calgaryhealthregion.ca Received 9 Mar 2009 Revisions requested 14 Apr 2009 Revisions received 24 Apr 2009 Accepted 12 Jun 2009 Published 12 Jun 2009 Critical Care 2009 13 R90 doi 10.1186 cc7918 This article is online at http ccforum.com content 13 3 R90 2009 Khosravani et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Hyperlactatemia is frequent in critically ill patients and is often used as a marker of adverse outcome. However studies to date have focused on selected intensive care unit ICU populations. We sought to determine the occurrence and relation of hyperlactatemia with ICU mortality in all patients admitted to four ICUs in a large regional critical care system. Methods All adults greater than or equal to 18 years admitted to ICUs in the Calgary Health Region population 1.2 million during 2003 to 2006 were included retrospectively. Lactate determinations were at the discretion of the attending service and hyperlactatemia was defined by a lactate level 2 mmol L. Results A .