The Prognostic Value of Lactate is Different Among Septic Patients

Fudan University

Status: Completed

Conditions: Diabetes Mellitus; Sepsis

Study type: Observational

Funder types: Other

Identifiers

NCT04155060

PROMPT

Details and patient eligibility

About

Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. Early diagnosis of sepsis and identification of more severe sepsis is important to improve the outcomes .Therefore, reliable markers are required to early identify the high-risk patients. Currently, lactate is widely applied as the marker for evaluating the severity of sepsis and for outcome predicting. DM affects lactate balance and raised baseline lactate. The objective of this study was to compare the different prognostic value of admission lactate for sepsis patients with or without DM.

Full description

Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. Early diagnosis of sepsis and identification of more severe sepsis is important to improve the outcomes .Therefore, reliable markers are required to early identify the high-risk patients.

Currently, lactate is widely applied as the marker for evaluating the severity of sepsis and for outcome predicting.Nevertheless, the value of lactate for predicting sepsis is still controversial.The reasons for the different cutoff value may be due to the fact that sepsis is a heterogeneous disease which has already been defined by a number of clinical, laboratory and radiologic criteria, rather than specific pathologic findings. Therefore, we hypothesized that the discrepancy clinical value of lactate may be resulted from the heterogeneous feature of sepsis.

DM affects lactate balance and raised baseline lactate. The objective of this study was to compare the different prognostic value of admission lactate for sepsis patients with or without DM.

Enrollment: 256 patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:18 years or older, informed consent signed, admission serum lactate level obtained, and admission to the hospital with sepsis or septic shock diagnosis.

Exclusion Criteria:congenital metabolic and psychiatric diseases and clinical data deficiency.

Trial design

256 participants in 2 patient groups

DM group , non-DM group

Description:

Septic patients were divided into the DM group and non-DM group, based on their comorbidity

high lactate group,low lactate group

Description:

high lactate group (lactate \> 2 mmol/L) and low lactate group (lactate ≤ 2 mmol/L), according to the admission lactate level.