Evidence map›Paper›PMID 32483513›Full record

ArticleCureus2020

Delta Lactate (Three-hour Lactate Minus Initial Lactate) Prediction of In-hospital Death in Sepsis Patients.

Amanda L Webb, Nicholas Kramer, Javier Rosario, Larissa Dub, David Lebowitz, Kendra Amico, Leoh Leon, Tej G Stead, Ariel Vera, Latha Ganti

Abstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Restrictive fluids versus standard care in adults with sepsis in the emergency department (REFACED): A multicenter, randomized feasibility trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Amanda L WebbEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
Nicholas KramerEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
Javier RosarioEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
Larissa DubEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
David LebowitzEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
Kendra AmicoEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
Leoh LeonEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
Tej G SteadEmergency Medicine, Brown University, Providence, USA.
Ariel VeraEmergency Medicine, University of Central Florida College of Medicine/Hospital Corporation of America Graduate Medical Education Consortium of Greater Orlando, Kissimmee, USA.
Latha GantiEmergency Medicine, Envision Physician Services, Nashville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examines the relationship between serial serum lactate levels and in-hospital mortality in an adult cohort of emergency department patients with severe sepsis or septic shock. Of the 164 patients in the cohort, 130 also got three-hour lactate in addition to the initial one. The median initial lactate was 3.01 (interquartile range [IQR]: 1.71-4.62). The median repeat lactate was 2.58 (IQR: 1.4-3.9). The in-hospital death rate was 23% for men and 29% for women. The delta lactate was significantly higher in women (P=0.0070), driven by a lower initial lactate (P=0.0277). In a multivariate regression model controlled for age and gender, a statistically significant correlation was noted between an increase in the delta lactate and in-hospital death (P=0.0323; R

Indexed as

lactatesepsis

Identifiers

PMID32483513
PMCPMC7255083

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.