Mark E Mikkelsen, Andrea N Miltiades, David F Gaieski, Munish Goyal, Barry D Fuchs, Chirag V Shah, Scarlett L Bellamy, Jason D Christie
PRINCIPLE: Serum lactate is a potentially useful biomarker to risk-stratify patients with severe sepsis; however, it is plausible that elevated serum lactate is simply a manifestation of clinically apparent organ dysfunction and/or shock (i.e., refractory hypotension). OBJECTIVE: To test whether the association between initial serum lactate level and mortality in patients presenting to the emergency department (ED) with severe sepsis is independent of organ dysfunction and shock...
May 2009: Critical Care Medicine