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Miss Jane's Building (Edisto Library Temporary Location)
9 a.m. - 4 p.m.
Phone: (843) 869-2355
Main Library
9 a.m. – 8 p.m.
Phone: (843) 805-6930
West Ashley Library
9 a.m. – 7 p.m.
Phone: (843) 766-6635
Folly Beach Library
Closed for renovations
Phone: (843) 588-2001
John L. Dart Library
9 a.m. – 7 p.m.
Phone: (843) 722-7550
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Mt. Pleasant Library
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Dorchester Road Library
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Effect of pH, lactate, electrolyte, and strong ion difference variability on prediction of intensive care unit mortality: A retrospective study.
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- Author(s): Tontu, Furkan; Asar, Sinan; Bilgin, Beyza Oren
- Source:
Journal of Acute Disease; Sep2022, Vol. 11 Issue 5, p194-198, 5p- Subject Terms:
MORTALITY risk factors; INTENSIVE care units; BIOCHEMISTRY; PREDICTIVE tests; IN vivo studies; CONFIDENCE intervals; IRON; SODIUM; PHENOMENOLOGICAL biology; IRON in the body; RETROSPECTIVE studies; QUANTITATIVE research; MANN Whitney U Test; FISHER exact test; CHLORIDES; CATASTROPHIC illness; RISK assessment; LACTATES; ELECTROLYTES; DATA analysis software; LOGISTIC regression analysis; ODDS ratio; ACID-base equilibrium - Source:
- Additional Information
- Subject Terms:
- Abstract: Objective: To investigate the effect of the variability of Nas, Cls, Ks, lactate values and sodium effect (NaEffect), chloride effect (ClEffect), non-lactate strong ion difference (SIDnl) values calculated according to Stewart's approach on predicting intensive care unit (ICU) mortality. Methods: The study was conducted on 1 539 patients, retrospectively. Serum Na (Nas), serum Cl (Cls), serum K (Ks), serum Ca (Cas), serum Mg (Mgs), lactate, pH values and SIDnl, NaEffect, ClEffect, APACHE ? (first, last), and SOFA (first, last) scores were recorded. Radiometer ABL 800 (Denmark) was used for blood gas analysis. The variability of each parameter was calculated. The effect of variability of each parameter on 30-day ICU mortality was analyzed. Results: The variability of lactate (P<0.001, OR=0.580, 95% CI=0.505-0.652), pH (P=0.001, OR=0.004, 95% CI=0.000-0.104), NaEffect (P<0.001, OR=0.550, 95% CI=0.378-0.592), Ks (P<0.001, OR=0.385, 95% CI=0.244-0.565) values were protective factors of ICU mortality and Cls value was a risk factor (P=0.004, OR=1.095, 95% CI=1.024-1.164). Variability of ClEffect, SIDnl values did not affect ICU mortality. Conclusions: The variability of electrolytes is important. Electrolyte, effects, and lactate variability can guide treatment and fluid applications in ICU. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Acute Disease is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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