학술논문

Serial daily lactate levels association with 30-day outcome in cardiogenic shock patients treated with VA-ECMO: a post-hoc analysis of the HYPO-ECMO study
Document Type
article
Source
Annals of Intensive Care, Vol 14, Iss 1, Pp 1-12 (2024)
Subject
Cardiogenic shock
Lactate
Extracorporeal Membrane Oxygenation
Hypothermia
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Language
English
ISSN
2110-5820
Abstract
Abstract Background Reliable predictors of outcomes in venoarterial extracorporeal membrane oxygenation (VA-ECMO) therapy are limited. While elevated lactate levels over time have been linked to outcomes in cardiogenic shock (CS), their significance in VA-ECMO-treated patients remains inconclusive. Methods We conducted a post hoc analysis of data from the HYPO-ECMO trial, which compared normothermia to moderate hypothermia in CS patients supported by VA-ECMO. We examined daily lactate levels collected over a week to assess their correlation with 30-day mortality. Results Among the 318 out of 334 patients (95%) with baseline lactate measurements, 66 had normal levels (