Observational study reveals predictive utility of serial lactate variables over admission levels in canine shock, indicating dynamic monitoring better guides prognosis.
Key Points
To assess the prognostic value of initial venous plasma lactate concentration, dynamic lactate variables, and shock index in predicting survival in dogs presenting with shock.
Evaluated admission venous plasma lactate concentration alongside subsequent lactate variables in dogs with shock.
Measured shock index values to assess their relationship with hospital survival outcomes.
Admission venous plasma lactate concentration failed to discriminate between hospital survivors and nonsurvivors.
Dynamic lactate variables demonstrated clinical utility in predicting patient outcomes.
Shock index demonstrated limited immediate prognostic ability, requiring standardized reference ranges and optimal cut-off thresholds for clinical application.