KMID : 1155520150100030192
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Anesthesia and Pain Medicine 2015 Volume.10 No. 3 p.192 ~ p.195
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The relationship between the serum lactate level and in-hospital mortality after decompressive craniectomy in traumatic brain Injury
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Jung Wol-Seon
Lee Dong-Chul Chang Young-Jin Park Chun-Kon Jo Youn-I
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Abstract
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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 ¡¾ 2.2 mmol/L in the survivors and 5.4 ¡¾ 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.
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KEYWORD
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Mortality, Serum lactate, Traumatic brain injury
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