Publication

Measurement of lactate in a prehospital setting is related to outcome

van Beest, P. A., Mulder, P. J., Oetomo, S. B., van den Broek, B., Kuiper, M. A. & Spronk, P. E., Dec-2009, In : European journal of emergency medicine. 16, 6, p. 318-322 5 p.

Research output: Contribution to journalArticleAcademicpeer-review

  • Paul A. van Beest
  • Peter Jan Mulder
  • Suparto Bambang Oetomo
  • Bert van den Broek
  • Michael A. Kuiper
  • Peter E. Spronk

Objective We evaluated the relationship of lactate measured in a preclinical setting with outcome. Simultaneously, we evaluated the feasibility of implementing blood lactate measurement in a prehospital setting as part of a quality improvement project

Methods Chart review of patients from whom serum lactate levels prospectively were obtained in a prehospital setting. Total population was divided into two groups, that is, a shock group and a non-shock group according to the predefined shock symptoms. The shock group was divided into two groups, that is, a lactate less than 4 mmol/l (subgroup 1) and a lactate of at least 4 mmol/l (subgroup 11).

Results In about 50% of possible cases, lactate was measured in the prehospital setting. Median lactate in subgroup I (n=74) was 3.2 (1.5-3.9) mmol/l versus 5.0 (4.0-20.0) mmol/l in subgroup I I (n = 61) (P

Conclusion Implementation of lactate measurement in prehospital setting is feasible, and potentially clinical relevant. Lactate measured in a preclinical setting is related to outcome. Subsequent studies should evaluate whether treatment of shock patient Is based on prehospital lactate measurement will improve outcome. European Journal of Emergency Medicine 16:318-322 (C) 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.

Original languageEnglish
Pages (from-to)318-322
Number of pages5
JournalEuropean journal of emergency medicine
Volume16
Issue number6
Publication statusPublished - Dec-2009

    Keywords

  • early diagnosis, lactic acid, prehospital emergency care, regional health planning, shock, OXYGEN-DERIVED VARIABLES, HUMAN SEPTIC SHOCK, BLOOD LACTATE, MYOCARDIAL-INFARCTION, OCCULT HYPOPERFUSION, CRITICALLY ILL, SEVERE SEPSIS, TRAUMA, MORTALITY, RELIABILITY

ID: 4994019