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Preoperative arterial blood lactate levels as a predictor of hospital mortality in patients with a ruptured abdominal aortic aneurysm

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Abstract

Purpose

To establish if preoperative arterial blood lactate (Lac) is a factor related to hospital death for patients with a ruptured abdominal aortic aneurysm (rAAA).

Methods

The subjects were 55 patients who underwent surgery for an rAAA in a single institution between July, 2000 and November, 2009. Patients were divided into a survivor group and a non-survivor group. We compared the preoperative Lac levels and other data between the groups.

Results

There were ten hospital deaths. On univariate analysis, preoperative Lac levels, shock vital, cardiopulmonary resuscitation, Hardman index ≥3, and Glasgow aneurysm score ≥84 were significantly higher and preoperative hemoglobin was significantly lower in the non-survivor group. The postoperative mortality rate tended to increase with preoperative Lac levels. The mortality rate of patients with a preoperative Lac level higher than 9 mmol/l was 86 %. Those factors that had significant association with hospital mortality on univariate analysis were consecutively analyzed using multivariate logistic regression analysis. The multivariate logistic regression analysis revealed that a preoperative Lac level >9 mmol/l was the only independent risk factor of hospital mortality.

Conclusion

The preoperative Lac level of patients with a rAAA may be a predictor of their prognosis.

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Conflict of interest

Makoto Hashimoto and his co-authors have no conflict of interest.

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Authors and Affiliations

  1. Department of Cardio-Thoracic Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan

    Makoto Hashimoto, Toshiro Ito, Ryo Harada, Nobuyoshi Kawaharada & Tetsuya Higami

  2. Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan

    Yoshihiko Kurimoto

Authors
  1. Makoto Hashimoto
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  2. Toshiro Ito
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  3. Yoshihiko Kurimoto
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  4. Ryo Harada
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  5. Nobuyoshi Kawaharada
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  6. Tetsuya Higami
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Corresponding author

Correspondence to Toshiro Ito.

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Hashimoto, M., Ito, T., Kurimoto, Y. et al. Preoperative arterial blood lactate levels as a predictor of hospital mortality in patients with a ruptured abdominal aortic aneurysm. Surg Today 43, 136–140 (2013). https://doi.org/10.1007/s00595-012-0439-7

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  • DOI: https://doi.org/10.1007/s00595-012-0439-7

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