Evidence map›Paper›PMID 32811544›Full record

Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2020

Validation of a point-of-care capillary lactate measuring device (Lactate Pro 2).

Anette Raa, Geir Arne Sunde, Bjørn Bolann, Reidar Kvåle, Christopher Bjerkvig, Håkon S Eliassen, Tore Wentzel-Larsen, Jon-Kenneth Heltne

Open access · goldAbstract readObservational StudyValidation Study
In one paragraph

Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
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

22 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
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  7. Recent advances in early screening and diagnosis of sepsis: a narrative review.Frontiers in cellular and infection microbiology · 2026
    Review
  8. Review
  9. Article
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  13. The predictive value of serum lactate to forecast injury severity in trauma-patients increases taking age into account.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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  17. Observational
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  20. Elevated serum lactate levels and age are associated with an increased risk for severe injury in trauma team activation due to trauma mechanism.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
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

8 authors at 3 institutions in 1 country.

Anette RaaUniversity of Bergen, Vognstølen 18 C, 5096, Bergen, Norway. anette.raa@live.no.ORCID http://orcid.org/0000-0002-0064-9569
Geir Arne SundeDepartment of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
Bjørn BolannDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Reidar KvåleDepartment of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
Christopher BjerkvigDepartment of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
Håkon S EliassenNorwegian Navy Special Operations Commando, Norwegian Armed Forces, Bergen, Norway.
Tore Wentzel-LarsenCentre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway.
Jon-Kenneth HeltneDepartment of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
Haukeland University Hospital · NONorwegian Armed Forces · NOUniversity of Bergen · NO

Funding

Regionalt Akuttmedisinsk Kompetansesenter ePhortenummer 2017/7788 /prosjektnummer 441021
6 · The paper itself

Abstract

backgroundThe measurement of lactate in emergency medical services has the potential for earlier detection of shock and can be performed with a point-of-care handheld device. Validation of a point-of-care handheld device is required for prehospital implementation.

aimThe primary aim was to validate the accuracy of Lactate Pro 2 in healthy volunteers and in haemodynamically compromised intensive care patients. The secondary aim was to evaluate which sample site, fingertip or earlobe, is most accurate compared to arterial lactate.

methodsArterial, venous and capillary blood samples from fingertips and earlobes were collected from intensive care patients and healthy volunteers. Arterial and venous blood lactate samples were analysed on a stationary hospital blood gas analyser (ABL800 Flex) as the reference device and compared to the Lactate Pro 2. We used the Bland-Altman method to calculate the limits of agreement and used mixed effect models to compare instruments and sample sites. A total of 49 intensive care patients with elevated lactate and 11 healthy volunteers with elevated lactate were included.

resultsThere was no significant difference in measured lactate between Lactate Pro 2 and the reference method using arterial blood in either the healthy volunteers or the intensive care patients. Capillary lactate measurement in the fingertip and earlobe of intensive care patients was 47% (95% CI (29 to 68%), p < 0.001) and 27% (95% CI (11 to 45%), p < 0.001) higher, respectively, than the corresponding arterial blood lactate. In the healthy volunteers, we found that capillary blood lactate in the fingertip was 14% higher than arterial blood lactate (95% CI (4 to 24%), p = 0.003) and no significant difference between capillary blood lactate in the earlobe and arterial blood lactate.

conclusionOur results showed that the handheld Lactate Pro 2 had good agreement with the reference method using arterial blood in both intensive care patients and healthy volunteers. However, we found that the agreement was poorer using venous blood in both groups. Furthermore, the earlobe may be a better sample site than the fingertip in intensive care patients.

Indexed as

Point-of-Care SystemsAgedArteriesBlood Gas AnalysisCapillariesCritical CareEmergency Medical ServicesFemaleHumansLactic AcidMaleMiddle AgedProspective StudiesVeinsLactic AcidLactatePoint-of-careShock

Identifiers

PMID32811544
PMCPMC7437027
OpenAlexW3079308900

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.