Persistent Hyperlactatemia as the Predictor of Poor Outcome in Critically Ill Children: A Single-Center, Prospective, Observational Cohort Study

Author:

Antin Jennifer1,Khare Shweta1,Patki Vinayak2

Affiliation:

1. Department of Pediatrics, Wanless Hospital, Miraj, Sangli, Maharashtra, India

2. Department of Pediatrics, Institute of Medical Education and Research, Vidyagiri, Satara, Maharashtra, India

Abstract

Objective To study incidence of hyperlactatemia and its correlation with outcome in critically ill children. Design Single-center, prospective cohort study. Setting Eight-bedded PICU. Method Serial serum lactate levels were measured in 140 critically ill children at 0, 12, 24, and 48 hours. Results A total of 45% children had hyperlactatemia. Lactate levels were significantly (p = 0.000) higher in nonsurvivors at all intervals. Lactate levels decreased significantly (p = 0.000) in survivors while increased in nonsurvivors. Normalized lactate load was found to be an independent predictor of mortality (p = 0.023). Conclusion Persistent hyperlactatemia serves as a possible predictor of poor outcome in critically ill children.

Publisher

Georg Thieme Verlag KG

Subject

Critical Care and Intensive Care Medicine,Pediatrics, Perinatology and Child Health

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