Evidence map›Paper›PMID 40629573›Full record

Observational studyMedicine2025

Intraoperative lactate level correlated with the length of hospital stay in patients with intraoperative hypothermia.

Qin Xu, Chen-Lu Hu, Hai-Yan Xiang, Jian-Wen Yang, Wei-Ming Qian, Jian-Ping Song

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Qin XuNursing Department, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Chen-Lu Hu
Hai-Yan Xiang
Jian-Wen Yang
Wei-Ming Qian

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to explore potential biomarkers correlated with the clinical outcome only in patients with intraoperative hypothermia undergoing cardiac surgery. The clinical data of patients with or without intraoperative hypothermia, and 8 blood indicators both in preoperative and intraoperative periods, were obtained from the Medical Information Mart for Intensive Care-IV database. The associations of indicators with the length of hospital stay (LOS) were explored in non-hypothermia and hypothermia groups, respectively. The key indicator showing the association only in hypothermia groups was selected for further analysis. The detailed association between the key indicator and LOS was further determined by a series of analyses, including restricted cubic spline, generalized additive model, generalized linear regression, trend regression, threshold effects analysis, and quartile regression. Their clinical value was explored by the receiver operating characteristic analysis and decision curve analysis. Among 16 indicators, only the intraoperative lactate was identified to correlate with the LOS in patients with hypothermia rather than normal group (all P < .05). Lactate showed a positive and nonlinear association with LOS (all P < .05), and their association was especially observed when log-lactate > 2.420 (all P < .05). Quartile regression showed that the associations of lactate with LOS quartiles from 40% and 80% were stably increased when log-lactate > 2.420 (all P < .05). However, no association was observed in any analyses when log-lactate ≤ 2.420. We also confirmed the favorable prediction performance and clinical net benefit of lactate on the LOS. Intraoperative lactate is significantly associated with the LOS of patients with hypothermia and is a useful biomarker.

Indexed as

Cardiac Surgical ProceduresHypothermiaIntraoperative ComplicationsLactic AcidLength of StayAgedBiomarkersFemaleHumansIntraoperative PeriodMaleMiddle AgedRetrospective StudiesROC CurveBiomarkersLactic Acidhypothermialactatelength of hospital stayMedical Information Mart for Intensive Care-IV

Identifiers

PMID40629573
PMCPMC12237370

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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.