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Naslov:Dynamics of capillary lactate levels in patients with out-of-hospital cardiac arrest
Avtorji:ID Vujanović, Vitka (Avtor)
ID Borovnik Lesjak, Vesna (Avtor)
ID Mekiš, Dušan (Avtor)
ID Strnad, Matej (Avtor)
Datoteke:.pdf Vujanovic-2023-Dynamics_of_Capillary_Lactate_L.pdf (1,17 MB)
MD5: C180DEA7E0957A602DE17A05F1020241
 
URL https://doi.org/10.3390/medicina59111989
 
Jezik:Angleški jezik
Vrsta gradiva:Znanstveno delo
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:MF - Medicinska fakulteta
Opis:Background and Objectives: An effective strategy for cardiopulmonary resuscitation should be based on tissue perfusion. Our primary aim was to determine the association between capillary lactate values and initial rhythm as well as the probability of the return of spontaneous circulation in out-of-hospital cardiac arrest patients. Materials and Methods: This prospective observational cohort study included all patients with non-traumatic out-of-hospital cardiac arrest, older than 18 years, resuscitated by a prehospital emergency medical team between April 2020 and June 2021. Capillary lactate samples were collected at the time of arrival and every 10 min after the first measurement until the time of the return of spontaneous circulation (ROSC) or, if ROSC was not achieved, at the time of declaring death on the scene. Results: In total, 83 patients were enrolled in the study. ROSC was achieved in 28 patients (33.7%), 21 were admitted to hospital (26.3%), and 6 (7.23%) of them were discharged from hospital. At discharge, all patients had Cerebral Performance Category Scale 1 or 2. Initial capillary lactate values were significantly higher in patients with a non-shockable rhythm compared to the group with a shockable rhythm (9.19 ± 4.6 versus 6.43 ± 3.81; p = 0.037). A significant difference also persisted in a second value taken 10 min after the initial value (10.03 ± 5,19 versus 5.18 ± 3.47; p = 0.019). Capillary lactate values were higher in the ROSC group and non-ROSC group at the time of restored circulation (11.10 ± 6.59 and 6.77 ± 4.23, respectively; p = 0.047). Conclusions: Capillary lactate values are significantly higher in patients with a non-shockable first rhythm in out-of-hospital cardiac arrest (OHCA). There is also a significantly different rise in capillary lactate levels in patients with ROSC.
Ključne besede:cardiopulmonary resuscitation, out-of-hospital cardiac arrest, lactate, return of spontaneous circulation
Status publikacije:Objavljeno
Verzija publikacije:Objavljena publikacija
Poslano v recenzijo:01.09.2023
Datum sprejetja članka:06.11.2023
Datum objave:11.11.2023
Založnik:MDPI
Leto izida:2023
Št. strani:Str. 1-11
Številčenje:Letn. 59, Št. 11, št. članka 1989
PID:20.500.12556/DKUM-88327 Novo okno
UDK:616.12-008.315
COBISS.SI-ID:171801859 Novo okno
DOI:10.3390/medicina59111989 Novo okno
ISSN pri članku:1648-9144
Datum objave v DKUM:16.04.2024
Število ogledov:156
Število prenosov:15
Metapodatki:XML DC-XML DC-RDF
Področja:Ostalo
:
VUJANOVIĆ, Vitka, BOROVNIK LESJAK, Vesna, MEKIŠ, Dušan in STRNAD, Matej, 2023, Dynamics of capillary lactate levels in patients with out-of-hospital cardiac arrest. Medicina [na spletu]. 2023. Vol. 59, no. Št. 11,  članka 1989, p. 1–11. [Dostopano 23 januar 2025]. DOI 10.3390/medicina59111989. Pridobljeno s: https://dk.um.si/IzpisGradiva.php?lang=slv&id=88327
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Gradivo je del revije

Naslov:Medicina
Založnik:MDPI
ISSN:1648-9144
COBISS.SI-ID:6754623 Novo okno

Licence

Licenca:CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
Povezava:http://creativecommons.org/licenses/by/4.0/deed.sl
Opis:To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.
Začetek licenciranja:11.11.2023

Sekundarni jezik

Jezik:Slovenski jezik
Ključne besede:kardiopulmonalno oživljanje, zunajbolnišnični srčni zastoj, laktat, povrnitev spontane cirkulacije


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