당뇨병케톤산증 환자에서 내원 시 젖산과 응급실 처치에 따른 젖산 청소율의 효용성Efficacy of Initial Lactate and Lactate Clearance by Emergency Department Treatment in Diabetic Ketoacidosis Patients
- Other Titles
- Efficacy of Initial Lactate and Lactate Clearance by Emergency Department Treatment in Diabetic Ketoacidosis Patients
- Authors
- 주영욱; 이동욱; 김재우; 박세훈; 이정원; 문형준; 최재형; 이현정; 정윤현; 김현수; 전덕호
- Issue Date
- 2017
- Publisher
- 대한응급의학회
- Keywords
- Diabetic ketoacidosis; Lactic acid; Prognosis
- Citation
- 대한응급의학회지, v.28, no.6, pp.659 - 664
- Journal Title
- 대한응급의학회지
- Volume
- 28
- Number
- 6
- Start Page
- 659
- End Page
- 664
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7971
- ISSN
- 1226-4334
- Abstract
- Purpose: Diabetic ketoacidosis (DKA) is a fatal complication caused by unregulated diabetes. Lactate is used as a prognostic indicator for a range of serious illnesses and its level is higher in DKA patients. This study examined the utility of lactate and lactate clearance measurements at an emergency department for predicting the prognosis of DKA patients.
Methods: This was a retrospective, observational study of patients with DKA presenting to the emergency department of an urban and rural tertiary hospital between January, 2013 and December, 2016. The demographic and laboratory data were collected through a chart review.
Results: Seventy-six patients with DKA were included. Of these 76 patients, 46 (56.8%) had lactic acidosis (lactate >2.5 mmol/L) and 24 (29.6%) had a high lactate level (>4 mmol/L). Lactate and lactate clearance showed a significant difference in terms of the intensive care unit length of stay and mortality.
Conclusion: Lactate and lactate clearance measurements in DKA patients are favorable and significant prognostic factors.
In DKA patients, serial measurements of lactate should be considered.
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Collections - College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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