Diagnostic performance of initial serum lactate for predicting bacteremia in female patients with acute pyelonephriti
DC Field | Value | Language |
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dc.contributor.author | Seo, Dong Young | - |
dc.contributor.author | Jo, Sion | - |
dc.contributor.author | Lee, Jae Baek | - |
dc.contributor.author | Jin, Young Ho | - |
dc.contributor.author | Jeong, Taeoh | - |
dc.contributor.author | Yoon, Jaechol | - |
dc.contributor.author | Park, Bo young | - |
dc.date.accessioned | 2022-07-15T09:45:16Z | - |
dc.date.available | 2022-07-15T09:45:16Z | - |
dc.date.created | 2021-05-14 | - |
dc.date.issued | 2016-08 | - |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/154095 | - |
dc.description.abstract | Objectives The purpose of the present study was to investigate the diagnostic value of lactate for predicting bacteremia in female patients with acute pyelonephritis (APN). Methods We conducted a retrospective study of female patients with APN who visited the study hospital emergency department. The demographics, comorbidities, physiologies, and laboratory variables including white blood cell count and segmented neutrophil count, C-reactive protein, and initial serum lactate levels were collected and analyzed to identify associations with the presence of bacteremia. Results During the study period, a total of 314 patients were enrolled. One hundred twenty-three patients (39.2%) had bacteremia. Escherichia coli was the most frequent pathogen. Logistic regression analysis demonstrated that the lactate level was independently associated with the presence of bacteremia (odds ratio, 1.39 [95% confidence interval, 1.08-1.78]). The C-statistic of the lactate level was 0.67 (95% CI, 0.60-0.73). At a cutoff value of 1.4 mmol/L, the lactate level predicted bacteremia with a sensitivity (53.7%), specificity (72.3%), positive predictive value (55.5%), negative predictive value (70.8%), positive likelihood ratio (1.93), and negative likelihood ratio (0.64). Conclusion The initial serum lactate level showed poor discriminative performance for predicting bacteremia in female patients with APN. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | W. B. Saunders Co., Ltd. | - |
dc.title | Diagnostic performance of initial serum lactate for predicting bacteremia in female patients with acute pyelonephriti | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Bo young | - |
dc.identifier.doi | 10.1016/j.ajem.2016.03.062 | - |
dc.identifier.scopusid | 2-s2.0-84964296849 | - |
dc.identifier.wosid | 000380752400006 | - |
dc.identifier.bibliographicCitation | American Journal of Emergency Medicine, v.34, no.8, pp.1359 - 1363 | - |
dc.relation.isPartOf | American Journal of Emergency Medicine | - |
dc.citation.title | American Journal of Emergency Medicine | - |
dc.citation.volume | 34 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 1359 | - |
dc.citation.endPage | 1363 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.subject.keywordPlus | C reactive protein | - |
dc.subject.keywordPlus | lactic acid | - |
dc.subject.keywordPlus | biological marker | - |
dc.subject.keywordPlus | lactic acid derivative | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0735675716300092?via%3Dihub | - |
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