Prevalence and clinical significance of point of care elevated lactate at emergency admission in older patients: a prospective study.

ABSTRACT:

Objective

Patients who are over 65 years old represent up to 24% of emergency department (ED) admissions. They are at increased risk of under-triage due to impaired physiological responses. The primary objective of this study was to assess the prevalence of elevated lactate by point of care testing (POCT) in this population. The secondary objective was to assess the additional value of lactate level in predicting an early poor outcome, as compared to and combined with common clinical scores and triage scales.

Methods

This monocentric prospective study recruited ED patients who were over 65 years old between July 19th 2019 and June 17th 2020. Patients consulting for seizures or needing immediate assessment were excluded. POCT lactates were considered elevated if ≥ 2.5 mmol/L.

SUBMITTER: Gosselin M 

PROVIDER: S-EPMC9178320 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature