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KMID : 1155520150100030192
Anesthesia and Pain Medicine
2015 Volume.10 No. 3 p.192 ~ p.195
The relationship between the serum lactate level and in-hospital mortality after decompressive craniectomy in traumatic brain Injury
Jung Wol-Seon

Lee Dong-Chul
Chang Young-Jin
Park Chun-Kon
Jo Youn-I
Abstract
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.
KEYWORD
Mortality, Serum lactate, Traumatic brain injury
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