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Medicina crítica (Colegio Mexicano de Medicina Crítica)
versão impressa ISSN 2448-8909
Resumo
CARRILLO ESPER, Raúl et al. Relationship between the Child-Pugh+lactate score and mortality in cirrhotic patients in the intensive care unit. Med. crít. (Col. Mex. Med. Crít.) [online]. 2016, vol.30, n.5, pp.310-314. ISSN 2448-8909.
Objective:
This study aimed to establish if the Child-Pugh+lactate score is a reliable prognostic scoring tool as mortality predictor in cirrhotic patients admitted to the Médica Sur Clinic Foundation Intensive Care Unit.
Material and methods:
This was a 3-year, single-centered retrospective cohort study performed in a general ICU.
Results:
Twenty-eight cases were collected in the period from January 1, 2012 to December 31, 2014, of which a total of 16 patients (57.1%) died within the first 40 days after admission and 12 survived (42.9%). It was assessed if there was a correlation between death and a Child-Pugh lactate score greater than 14, finding an r = 0.708.
Conclusions:
A Child-Pugh+lactate score with a numerical value above 14 points has a direct relation with mortality in cirrhotic patients admitted to the ICU.
Palavras-chave : Cirrhosis; Child-Pugh+lactate score; gastrointestinal bleeding; hepatic encephalopathy; sepsis; mortality.
