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Capillary lactate as a tool for the triage nurse among patients with SIRS at emergency department presentation: a preliminary report

Overview of attention for article published in Annals of Intensive Care, April 2015
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Title
Capillary lactate as a tool for the triage nurse among patients with SIRS at emergency department presentation: a preliminary report
Published in
Annals of Intensive Care, April 2015
DOI 10.1186/s13613-015-0047-y
Pubmed ID
Authors

Cyril Manzon, Loïc Barrot, Guillaume Besch, Olivier Barbot, Thibaut Desmettre, Gilles Capellier, Gaël Piton

Abstract

The triage nurse is involved in the early identification of the most severe patients at emergency department (ED) presentation. However, clinical criteria alone may be insufficient to identify them correctly. Measurement of capillary lactate concentration at ED presentation may help to discriminate these patients. The primary objective of this study was to identify the prognostic value of capillary lactate concentration measured by the triage nurse among patients presenting to the ED. This was a prospective observational study, performed in the ED of a university hospital. At ED presentation, capillary lactate measurement was performed by the triage nurse among patients presenting with a clinical criteria of systemic inflammatory response syndrome (SIRS). Clinical variables usually used to determine severity were collected at presentation. Twenty-eight-day mortality and MEDS score were recorded. One hundred seventy-six patients with clinical SIRS presented to the ED. Median age was 72 years, and 28-day mortality was 16%. Capillary lactate at ED presentation was significantly higher among 28-day non-survivors than among survivors (5.7 mmol.L(-1) [3.2 to 7.4] vs 2.9 mmol.L(-1) [1.9 to 5.2], p = 0.003). A score based on mottling and capillary lactate concentration >3.6 mmol.L(-1) was significantly associated with 28-day mortality (area under curve, AUC = 0.75), independently of the MEDS score (AUC = 0.79) for the prediction of 28-day mortality (AUC global model 0.87). A high capillary lactate concentration measured by the triage nurse among patients presenting to the ED with clinical SIRS is associated with a high risk of death. A score calculated by the triage nurse, based on mottling and capillary lactate concentration, appears to be useful for identifying the most severe patients.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 2%
Unknown 42 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 7 16%
Student > Master 7 16%
Researcher 6 14%
Student > Postgraduate 4 9%
Other 4 9%
Other 7 16%
Unknown 8 19%
Readers by discipline Count As %
Medicine and Dentistry 24 56%
Nursing and Health Professions 5 12%
Biochemistry, Genetics and Molecular Biology 2 5%
Engineering 2 5%
Agricultural and Biological Sciences 1 2%
Other 0 0%
Unknown 9 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 April 2015.
All research outputs
#20,269,439
of 22,800,560 outputs
Outputs from Annals of Intensive Care
#954
of 1,042 outputs
Outputs of similar age
#223,640
of 265,147 outputs
Outputs of similar age from Annals of Intensive Care
#8
of 10 outputs
Altmetric has tracked 22,800,560 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
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