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Clinical utility of standard base excess in the diagnosis and interpretation of metabolic acidosis in critically ill patients BJMBR
Park,M; Taniguchi,L.U; Noritomi,D.T; Libório,A.B.; Maciel,A.T; Cruz-Neto,L.M.
The aims of this study were to determine whether standard base excess (SBE) is a useful diagnostic tool for metabolic acidosis, whether metabolic acidosis is clinically relevant in daily evaluation of critically ill patients, and to identify the most robust acid-base determinants of SBE. Thirty-one critically ill patients were enrolled. Arterial blood samples were drawn at admission and 24 h later. SBE, as calculated by Van Slyke's (SBE VS) or Wooten's (SBE W) equations, accurately diagnosed metabolic acidosis (AUC = 0.867, 95%CI = 0.690-1.043 and AUC = 0.817, 95%CI = 0.634-0.999, respectively). SBE VS was weakly correlated with total SOFA (r = -0.454, P < 0.001) and was similar to SBE W (r = -0.482, P < 0.001). All acid-base variables were...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Metabolic acidosis; Clinical outcome; Strong ion gap; Standard base excess; Van Slyke equation; Sequential organ failure assessment.
Ano: 2008 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2008000300011
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