CALL FOR PAPERS

CERTIFICATE

IMPACT FACTOR 2018

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

Serum Lactate Levels In Prognostication Of Patients In Sepsis Or Septic Shock

Author: 
Dr. Kristel Liza Wilson and Dr. Jayaprakash Alva
Subject Area: 
Health Sciences
Abstract: 

Introduction: India has recorded a death rate of 7.3 / 1000 individuals in the year 2016. From the multicentric study done on 5,478 ITU admissions, mortality was 59% of which 25% of patient in SIRS with organ dysfunction of which 52.77% were due to sepsis. With such high prevalence, it becomes important to point our focus on early and aggressive measures to reverse sepsis. In a country like India, decision on type and extent of intervention is greatly affected by the financial aspect. Hence, it is important to prognosticate the patient early in order to make treatment decisions. Lactate is one such parameter which denotes sepsis, so we would like to study if serial lactate levels could help prognosticate. Aims and Objective: 1. To measure the lactate levels at the time of presentation and 24 hrs and determine the better predictor of mortality. 2. To compare lactate clearance between survivors and non-survivors. Methodology: It was a prospective observational study. 40 subjects who were in sepsis or septic shock were included in the study and lactate levels were measured at 0hrs and 24 hrs and the lactate clearance was also calculated. Results: Initial lactate levels correlated best to mortality (p-0.003) whereas serial lactate and lactate clearance did not show any positive predictive value. An initial lactate levels of 1.45 could be taken as a cut off for predicting poor mortality and it showed 75% sensitivity and 65% specificity. Discussion: When compared to other studies, certain studies showed near equal correlation of both initial lactate as well as lactate clearance to mortality whereas some other studies showed more correlation between lactate clearance and mortality. Though all our patients received standard care offered to a patient in sepsis but the degree of intervention varied from person to person due to a major concern of financial constraints by relatives. Conclusion: Since initial lactate levels showed good predictability in mortality prediction , it could be used as a parameter to assess prognosis at the initial phase of presentation and thereby determine the extent of intervention to be implemented at the golden hours.

PDF file: 

IJMCE RECOMMENDATION

ONLINE PAYPAL PAYMENT

CURRENT ISSUE

NEWS

CHIEF EDITOR

Rosane Cavalcante Fragoso, Brasil

ASSOCIATE CHIEF EDITOR

   

Jean-Marc SABATIER
Chief Scientific Officer and Head of a Research Group
France

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

EDITORIAL BOARD

Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran