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Date Published: 25/03/2022
Online Published: 25/03/2022
Abstract Views: 212
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DOI: https://doi.org/10.54804/yhthvb.1.2022.101
Issue
No. 1 (2022)
Section
Articles
How to Cite
Ngo, T. H., & Nguyen, N. L. (2022). Characteristics of the arterial blood lactate and base excess in burns patients on hospital admission. Journal of Disaster Medicine and Burn Injuries, 1, 49-55. https://doi.org/10.54804/yhthvb.1.2022.101

Characteristics of the arterial blood lactate and base excess in burns patients on hospital admission

Ngo Tuan Hung1,, Nguyen Nhu Lam1
1 Le Huu Trac National Burn Hospital

Main Article Content

Abstract

Objectives: To evaluate the relationship and prognostic value of the admission arterial blood Lactate and base excess to mortality in severe burn patients.
Subjects and methods: Prospective study on 121 adult severe burn patients admitted within 72 hours after-burn at the National Burns Hospital from 1/1/2021 to 31/12/ 2021. Patients were divided into two groups of survival and death and were compared in terms of the arterial blood Lactate and base excess at admission.
Results: The arterial blood Lactate and base excess was significantly higher (p < 0.001) in the death group compared with the survival group at admission. The predictive value of mortality of the arterial blood lactate and base excess was good (AUC = 0.82; 95% CI: 0.74 - 0.9; cut-off: 4mmol/l; sensitivity: 79, 17%; specificity: 74.23%; accuracy: 75.21%; p = 0.0000) and quite (AUC = 0.77; 95% CI: 0.66 - 0.88; cut-off: 5.4mmol/l; sensitivity: 83.33%; specificity: 68.04%; accuracy: 71.07%; p = 0.0000). However, the results of multivariate analysis showed that these two indexes did not have an independent effect on mortality.
Conclusion: The predictive value of mortality of the arterial blood Lactate and base excess was good and quite, however, there was no independent effect on mortality. More research is needed to apply this index in the prognosis of patients with severe burns.

Article Details

Keywords

Burns, base excess, Lactate, prognosis value

References

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