Eur J Trauma Emerg Surg (2017) 43:841–851 https://doi.org/10.1007/s00068-016-0733-y ORIGINAL ARTICLE Lactate clearance metrics are not superior to initial lactate in predicting mortality in trauma 1 1 1 2 3 S. E. Dekker · H.‑M. de Vries · W. D. Lubbers · P. M. van de Ven · E. J. Toor · 4 4 1 1 F. W. Bloemers · L. M. G. Geeraedts Jr. · P. Schober · C. Boer Received: 26 May 2016 / Accepted: 4 October 2016 / Published online: 13 October 2016 © Springer-Verlag Berlin Heidelberg 2016 Abstract prognostic as the initial lactate value for in-hospital mor- Purpose Despite the availability of different lactate clear- tality. The prognostic value of initial lactate and lactate ance (LC) metrics for clinical use, it remains unknown clearance for in-hospital mortality were not found to dif- which metric is superior as a clinical predictor for out- fer between isolated TBI, polytrauma with TBI, and trauma come, particularly in trauma patients. This retrospective without TBI. study compared four previously described metrics of LC Conclusions LC metrics based on the methods of Zhang and examined the association between LC and outcome in et al. and Billeter et al. predicted mortality in trauma
European Journal of Trauma and Emergency Surgery – Springer Journals
Published: Oct 13, 2016
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