Comparison of a modified Story approach to traditional evaluation of acid-base disturbances in patients with shock: a cohort study.

Autor: Dos Passos MG; Department of Critical Care, Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil., Blaya LB; Department of Critical Care, Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil., Boniatti MM; Department of Critical Care, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil. mboniatti@hcpa.edu.br.
Jazyk: angličtina
Zdroj: Journal of clinical monitoring and computing [J Clin Monit Comput] 2022 Jun; Vol. 36 (3), pp. 817-822. Date of Electronic Publication: 2021 May 02.
DOI: 10.1007/s10877-021-00713-0
Abstrakt: To compare whether the diagnostic evaluation of metabolic acidosis can be improved by using a modified Story method compared to the traditional evaluation in a population of critically ill patients with shock. This prospective cohort study included shock patients admitted to the ICU of a tertiary hospital in Brazil between May 2018 and November 2019. We collected laboratory data necessary for traditional evaluation and the simplified Stewart's method. During the study period, 149 patients were included in the final analysis. Of the 17 patients with a normal SBE and AG corrected , 13 (76.5%) presented with metabolic acidosis according to the modified Story assessment. Therefore, of the 149 patients included in the study, the traditional approach failed to identify metabolic acidosis that was identified by the modified Story assessment in 13 (8.7%) patients. In addition, the determination of the severity of metabolic acidosis also differed between the two methods by a mean of - 7.8 mEq/L. We found that a modified Story method can identify and quantify metabolic acidosis in patients with disorders that were not revealed by the traditional approach.
(© 2021. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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