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Çocuk yoğun bakım hastalarında kan laktat düzeyleri ile mortalite arasındaki ilişki   
Yazarlar (6)
İlyas Yolbaş
Dicle Üniversitesi, Türkiye
Velat Şen
Dicle Üniversitesi, Türkiye
Mehmet Boşnak
Gaziantep Üniversitesi, Türkiye
Selvi Kelekçi
Dicle Üniversitesi, Türkiye
Servet Yel
Yüzüncü Yıl Üniversitesi, Türkiye
Prof. Dr. Ali GÜNEŞ Prof. Dr. Ali GÜNEŞ
Dicle Üniversitesi, Türkiye
Devamını Göster
Özet
Objective: To determine relationship between blood lactate level and mortality rate in children admitted to the intensive care unit.Methods: 298 critically ill patients aged between 28 days and 16 years admitted to Dicle University Hospital, the third step Pediatric Intensive Care Unit in between January 2007 and December 2007 were included. Age, sex, diagnosis, Glasgow coma score points, the first measured blood lactate levels (lactate 1) and the arithmetic average of all measured blood lactate levels during treatment (lactate 2) of cases were evaluated. Patients were divided into group A (lactate< 20 mg/dl) and B (lactate≥ 20 mg/dl). According to the results, patients were classified as survivors and non-survivors. Both lactate 1 and lactate 2 were compared with mortality rates.Results: In this study, a total of 298 patients were evaluated, 158 of them were nonsurvivors and 140 were survivors. A significant correlation was found between lactate levels and mortality rates. Lactate levels were higher in non-survivor cases (p< 0.001). In group B, lactate 1 had 68%(106/156) sensitivity and 75%(106/142) specificity for determining the risk of mortality. Also in group B, lactate 2 had 85%(134/158) sensitivity and 79%(134/169) specificity for determining the risk of mortality.Conclusion: There is a strong association between high blood lactate levels and mortality rates in the critically ill patients in pediatric intensive care unit. In these patients blood lactate levels can be used for follow-up and evaluation of the effectiveness of treatment and determining mortality. J Clin Exp Invest 2013; 4 (3): 269-273
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü Diğer hakemli ulusal dergilerde yayınlanan tam makale
Dergi Adı Klinik ve Deneysel Arastirmalar Dergisi
Dergi Tarandığı Indeksler ULAKBİLİM
Makale Dili Türkçe
Basım Tarihi 01-2013
Cilt No 4
Sayı 3
Sayfalar 269 / 273
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Google Scholar 4

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