Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma

Mara Veronica Alvarez Valdes; Yali Libertad Bordies Lavin; Alberto Denis Perez

doi:doi:10.11648/j.plm.20230701.14

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Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma

Mara Veronica Alvarez Valdes, Yali Libertad Bordies Lavin, Alberto Denis Perez

Published in Pathology and Laboratory Medicine (Volume 7, Issue 1)

Received: 15 June 2023 Accepted: 30 June 2023 Published: 13 July 2023

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Abstract

Introduction: The severe polytraumatized patient is defined as that individual who presents two or more severe traumatic injuries, whether peripheral or visceral, which lead to respiratory or circulatory repercussions and put life at risk. Acidosis, hypothermia and coagulopathy called the "deadly triad" develops as a consequence of the metabolic changes induced by polytraumatism, are difficult to assess, diagnose and treat, since they present a high vital risk, for which reason requires rapid, complex and multidisciplinary diagnosis and treatment; through consecutive and ordered steps, based on the condition of each one of them. The persistent elevation of lactic acid levels has proven to be a useful marker to establish the incidence of mortality in certain entities. Objective: To determine the prognostic value of lactic acid in patients with severe trauma. Methods: Descriptive, longitudinal, prospective study during the period between January 2018 and December 2020, with a universe of 21 patients, theoretical and empirical methods were applied. As main Results: There was a predominance of the male sex in 71.4% in the ages between 21 and 40 years, 42.9% had a moderate behavior in relation to hierlactacidemia, the complications and the state at discharge were evidenced. in a positively proportional way, not so the base excess and the stay. Conclusions: LA is a prognostic biochemical marker to be taken into account in the evolution of polytraumatized patients.

Published in	Pathology and Laboratory Medicine (Volume 7, Issue 1)
DOI	10.11648/j.plm.20230701.14
Page(s)	18-23
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Polytraumatized Patient, Lactic Acid, Hyperlactatemia

References

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[14]	Milián Valdés D, Martínez Hernández JA, Leal Avilés E, Pèrez Pérez E, Larrea Fabra ME. Characteristics of the injured admitted by the specialty of General Surgery in intensive care. Arch Hosp Calixto Garcia [Internet]. 2019 [2020 Jan 05] 7 (2): 193-208. Available at: http://revcalixto.sld.cu/index.php/ahcg/article/view/387
[15]	Benítez Bitar ME, Posada Gaviria S, Fernández de León N, Gónima Gallego S. Epidemiology of upper limb trauma treated in six health institutions in the city of Medellín. Colombia. Iberolatinoam. 2016 47 (3): 22-8.
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APA Style

Mara Veronica Alvarez Valdes, Yali Libertad Bordies Lavin, Alberto Denis Perez. (2023). Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathology and Laboratory Medicine, 7(1), 18-23. https://doi.org/10.11648/j.plm.20230701.14

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ACS Style

Mara Veronica Alvarez Valdes; Yali Libertad Bordies Lavin; Alberto Denis Perez. Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathol. Lab. Med. 2023, 7(1), 18-23. doi: 10.11648/j.plm.20230701.14

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AMA Style

Mara Veronica Alvarez Valdes, Yali Libertad Bordies Lavin, Alberto Denis Perez. Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathol Lab Med. 2023;7(1):18-23. doi: 10.11648/j.plm.20230701.14

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@article{10.11648/j.plm.20230701.14,
  author = {Mara Veronica Alvarez Valdes and Yali Libertad Bordies Lavin and Alberto Denis Perez},
  title = {Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma},
  journal = {Pathology and Laboratory Medicine},
  volume = {7},
  number = {1},
  pages = {18-23},
  doi = {10.11648/j.plm.20230701.14},
  url = {https://doi.org/10.11648/j.plm.20230701.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.plm.20230701.14},
  abstract = {Introduction: The severe polytraumatized patient is defined as that individual who presents two or more severe traumatic injuries, whether peripheral or visceral, which lead to respiratory or circulatory repercussions and put life at risk. Acidosis, hypothermia and coagulopathy called the "deadly triad" develops as a consequence of the metabolic changes induced by polytraumatism, are difficult to assess, diagnose and treat, since they present a high vital risk, for which reason requires rapid, complex and multidisciplinary diagnosis and treatment; through consecutive and ordered steps, based on the condition of each one of them. The persistent elevation of lactic acid levels has proven to be a useful marker to establish the incidence of mortality in certain entities. Objective: To determine the prognostic value of lactic acid in patients with severe trauma. Methods: Descriptive, longitudinal, prospective study during the period between January 2018 and December 2020, with a universe of 21 patients, theoretical and empirical methods were applied. As main Results: There was a predominance of the male sex in 71.4% in the ages between 21 and 40 years, 42.9% had a moderate behavior in relation to hierlactacidemia, the complications and the state at discharge were evidenced. in a positively proportional way, not so the base excess and the stay. Conclusions: LA is a prognostic biochemical marker to be taken into account in the evolution of polytraumatized patients.},
 year = {2023}
}

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TY  - JOUR
T1  - Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma
AU  - Mara Veronica Alvarez Valdes
AU  - Yali Libertad Bordies Lavin
AU  - Alberto Denis Perez
Y1  - 2023/07/13
PY  - 2023
N1  - https://doi.org/10.11648/j.plm.20230701.14
DO  - 10.11648/j.plm.20230701.14
T2  - Pathology and Laboratory Medicine
JF  - Pathology and Laboratory Medicine
JO  - Pathology and Laboratory Medicine
SP  - 18
EP  - 23
PB  - Science Publishing Group
SN  - 2640-4478
UR  - https://doi.org/10.11648/j.plm.20230701.14
AB  - Introduction: The severe polytraumatized patient is defined as that individual who presents two or more severe traumatic injuries, whether peripheral or visceral, which lead to respiratory or circulatory repercussions and put life at risk. Acidosis, hypothermia and coagulopathy called the "deadly triad" develops as a consequence of the metabolic changes induced by polytraumatism, are difficult to assess, diagnose and treat, since they present a high vital risk, for which reason requires rapid, complex and multidisciplinary diagnosis and treatment; through consecutive and ordered steps, based on the condition of each one of them. The persistent elevation of lactic acid levels has proven to be a useful marker to establish the incidence of mortality in certain entities. Objective: To determine the prognostic value of lactic acid in patients with severe trauma. Methods: Descriptive, longitudinal, prospective study during the period between January 2018 and December 2020, with a universe of 21 patients, theoretical and empirical methods were applied. As main Results: There was a predominance of the male sex in 71.4% in the ages between 21 and 40 years, 42.9% had a moderate behavior in relation to hierlactacidemia, the complications and the state at discharge were evidenced. in a positively proportional way, not so the base excess and the stay. Conclusions: LA is a prognostic biochemical marker to be taken into account in the evolution of polytraumatized patients.
VL  - 7
IS  - 1
ER  -

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Author Information

Mara Veronica Alvarez Valdes

Faculty of Medical Sciences of Matanzas: Juan Guiteras Gener, University of Medical Sciences of Matanzas, Provincial Teaching Surgical Clinical Hospital: Faustino Pérez, Matanzas, Cuba
Yali Libertad Bordies Lavin

Faculty of Medical Sciences of Matanzas: Juan Guiteras Gener, University of Medical Sciences of Matanzas, Provincial Teaching Surgical Clinical Hospital: Faustino Pérez, Matanzas, Cuba
Alberto Denis Perez

Faculty of Medical Sciences of Matanzas: Juan Guiteras Gener, University of Medical Sciences of Matanzas, Provincial Teaching Surgical Clinical Hospital: Faustino Pérez, Matanzas, Cuba

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APA Style

Mara Veronica Alvarez Valdes, Yali Libertad Bordies Lavin, Alberto Denis Perez. (2023). Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathology and Laboratory Medicine, 7(1), 18-23. https://doi.org/10.11648/j.plm.20230701.14

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ACS Style

Mara Veronica Alvarez Valdes; Yali Libertad Bordies Lavin; Alberto Denis Perez. Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathol. Lab. Med. 2023, 7(1), 18-23. doi: 10.11648/j.plm.20230701.14

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AMA Style

Mara Veronica Alvarez Valdes, Yali Libertad Bordies Lavin, Alberto Denis Perez. Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathol Lab Med. 2023;7(1):18-23. doi: 10.11648/j.plm.20230701.14

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@article{10.11648/j.plm.20230701.14,
  author = {Mara Veronica Alvarez Valdes and Yali Libertad Bordies Lavin and Alberto Denis Perez},
  title = {Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma},
  journal = {Pathology and Laboratory Medicine},
  volume = {7},
  number = {1},
  pages = {18-23},
  doi = {10.11648/j.plm.20230701.14},
  url = {https://doi.org/10.11648/j.plm.20230701.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.plm.20230701.14},
  abstract = {Introduction: The severe polytraumatized patient is defined as that individual who presents two or more severe traumatic injuries, whether peripheral or visceral, which lead to respiratory or circulatory repercussions and put life at risk. Acidosis, hypothermia and coagulopathy called the "deadly triad" develops as a consequence of the metabolic changes induced by polytraumatism, are difficult to assess, diagnose and treat, since they present a high vital risk, for which reason requires rapid, complex and multidisciplinary diagnosis and treatment; through consecutive and ordered steps, based on the condition of each one of them. The persistent elevation of lactic acid levels has proven to be a useful marker to establish the incidence of mortality in certain entities. Objective: To determine the prognostic value of lactic acid in patients with severe trauma. Methods: Descriptive, longitudinal, prospective study during the period between January 2018 and December 2020, with a universe of 21 patients, theoretical and empirical methods were applied. As main Results: There was a predominance of the male sex in 71.4% in the ages between 21 and 40 years, 42.9% had a moderate behavior in relation to hierlactacidemia, the complications and the state at discharge were evidenced. in a positively proportional way, not so the base excess and the stay. Conclusions: LA is a prognostic biochemical marker to be taken into account in the evolution of polytraumatized patients.},
 year = {2023}
}

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TY  - JOUR
T1  - Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma
AU  - Mara Veronica Alvarez Valdes
AU  - Yali Libertad Bordies Lavin
AU  - Alberto Denis Perez
Y1  - 2023/07/13
PY  - 2023
N1  - https://doi.org/10.11648/j.plm.20230701.14
DO  - 10.11648/j.plm.20230701.14
T2  - Pathology and Laboratory Medicine
JF  - Pathology and Laboratory Medicine
JO  - Pathology and Laboratory Medicine
SP  - 18
EP  - 23
PB  - Science Publishing Group
SN  - 2640-4478
UR  - https://doi.org/10.11648/j.plm.20230701.14
AB  - Introduction: The severe polytraumatized patient is defined as that individual who presents two or more severe traumatic injuries, whether peripheral or visceral, which lead to respiratory or circulatory repercussions and put life at risk. Acidosis, hypothermia and coagulopathy called the "deadly triad" develops as a consequence of the metabolic changes induced by polytraumatism, are difficult to assess, diagnose and treat, since they present a high vital risk, for which reason requires rapid, complex and multidisciplinary diagnosis and treatment; through consecutive and ordered steps, based on the condition of each one of them. The persistent elevation of lactic acid levels has proven to be a useful marker to establish the incidence of mortality in certain entities. Objective: To determine the prognostic value of lactic acid in patients with severe trauma. Methods: Descriptive, longitudinal, prospective study during the period between January 2018 and December 2020, with a universe of 21 patients, theoretical and empirical methods were applied. As main Results: There was a predominance of the male sex in 71.4% in the ages between 21 and 40 years, 42.9% had a moderate behavior in relation to hierlactacidemia, the complications and the state at discharge were evidenced. in a positively proportional way, not so the base excess and the stay. Conclusions: LA is a prognostic biochemical marker to be taken into account in the evolution of polytraumatized patients.
VL  - 7
IS  - 1
ER  -

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