Key result
Preoperative lactate levels > 2.5 mmol/l were significantly associated with higher mortality (9 vs 1 deaths, p=0.016) and respiratory complications in patients undergoing emergency abdominal surgeries.
Why the study?
The study was conducted to evaluate the effects of preoperative lactate levels on morbidity and mortality in patients undergoing emergency abdominal surgeries.
Does a preoperative lactate level > 2.5 mmol/l predict increased morbidity and mortality in patients undergoing emergency abdominal surgeries?
Cohort (n=86)
No
Does a preoperative lactate level > 2.5 mmol/l predict increased morbidity and mortality in patients undergoing emergency abdominal surgeries?
Absolute Event Rate: 9% vs 1%
p-value: p=0.016
Preoperative lactate levels > 2.5 mmol/l can serve as a prognostic marker for increased mortality and respiratory complications in patients undergoing emergency abdominal surgeries.
May support lactate for risk stratification in emergency surgery; hypothesis-generating and requires prospective validation.
Objectives: This study aims to study the effects of Preoperative lactate levels on morbidity and mortality of patients undergoing emergency abdominal surgeries. Material and methods: All the patients undergone surgery for emergency abdominal conditions over a period of 1 year were included. Patient age of below 15 years and above 70 years were excluded. Result: In our study of 86 patients, patients whose Preoperative lactate levels of 2.5 mmol/l had mortality of 1 and 9 patients respectively (p=0.016), wound discharge among 11 and 10 patients (p=0.698), wound dehiscence among 9 and 7 patients (p=0.502), respiratory complication among 2 and 11 patients (p=0.016), prolonged ileus among 1 and 7 patients respectively (0.955). Conclusion: Preoperative lactate levels > 2.5 mmol/l associated with higher chances of mortality and respiratory complication
No takes yet. Share an insight, caveat, or question.
Singh et al. (2019) conducted a cohort in Emergency abdominal conditions (n=86). Preoperative lactate levels > 2.5 mmol/l vs. Preoperative lactate levels < 2.5 mmol/l was evaluated on Mortality within 28 days (p=0.016). Preoperative lactate levels > 2.5 mmol/l were significantly associated with higher mortality (9 vs 1 deaths, p=0.016) and respiratory complications in patients undergoing emergency abdominal surgeries.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: