<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092018000300136</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Índice lactato/albúmina como predictor de mortalidad en sepsis y choque séptico]]></article-title>
<article-title xml:lang="en"><![CDATA[Lactate/albumin index as a sepsis mortality predictor and septic shock]]></article-title>
<article-title xml:lang="pt"><![CDATA[Índice de lactato/albumina como preditor de mortalidade em sepse e choque séptico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trujillo Ramírez]]></surname>
<given-names><![CDATA[Nancy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Reséndiz]]></surname>
<given-names><![CDATA[Sergio Michel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez Reyes]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villagómez Ortiz]]></surname>
<given-names><![CDATA[Asisclo de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosas Barrientos]]></surname>
<given-names><![CDATA[José Vicente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional «1o de Octubre» ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>32</volume>
<numero>3</numero>
<fpage>136</fpage>
<lpage>140</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092018000300136&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092018000300136&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092018000300136&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La correlación entre el lactato y la albúmina sérica parecen ser una alternativa novedosa para estimar la mortalidad, son marcadores séricos que se utilizan de forma rutinaria, lo que implica que el gasto de recursos no se incrementa.  Objetivo general:  Reportar la relación del índice lactato/albúmina en pacientes con sepsis y choque séptico con la mortalidad al egreso de terapia intensiva.  Material y métodos: Se realizó un estudio de cohorte histórica en el que se calculó una muestra de 30 pacientes cuyos datos se tomaron del expediente clínico y se recolectaron en el instrumento.  Resultados:  El índice lactato/albúmina fue un marcador pronóstico bueno para la determinación de mortalidad en la sepsis y en el choque séptico con significancia estadística p &lt; 0.001. Cumple la hipótesis al demostrar que un índice lactato/albúmina mayor de 1.7 se correlacionó con una mortalidad superior a 40% en la sepsis. Encontramos fuerte relación con la depuración de lactato en seis horas con resultados satisfactorios como predictor de mortalidad. El índice lactato/albúmina no evidenció relación con el desarrollo de disfunción orgánica múltiple.  Conclusiones:  El índice lactato/albúmina mayor de 1.7 se relaciona con una mortalidad de más de 40% en los pacientes con sepsis. No hay relación del índice lactato/albúmina con el desarrollo de DOM. Existe una correlación positiva del índice con las escalas pronósticas de SAPS, APACHEII y SOFA. El área bajo la curva ROC fue mayor en el índice lactato/albúmina y la depuración de lactato a las seis horas en comparación con las escalas pronósticas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  The correlation between lactate and serum albumin seems to be a novel alternative for estimating mortality. These are serum markers that are routinely used, which means that there is no increase in the expenditure of resources.  General objective:  To report the relationship of lactate/albumin index in patients with sepsis and septic shock with mortality after intensive care.  Material and methods:  A historical cohort study was performed, where a sample of 30 patients was calculated from which the data were collected in the instrument, taken from the clinical file.  Results:  The lactate/albumin index was a good prognostic marker for the determination of mortality in sepsis and in septic shock with statistical significance p &lt; 0.001. It fulfills the hypothesis by showing that a lactate/albumin index greater than 1.7 was correlated with a Mortality greater than 40% in sepsis. We found a strong relationship with lactate clearance in six hours with satisfactory results as a predictor of mortality. The lactate / albumin index was not related to the development of multiple organ dysfunction.  Conclusions:  The lactate/albumin index greater than 1.7 is related to a mortality greater than 40% in patients with sepsis. There is no relationship of the lactate / albumin index with the development of DOM. There is a positive correlation of the index with the predictive scales of SAPS, APACHEII and SOFA. The area under the ROC curve was higher for the lactate/albumin index and lactate clearance at 6 hours, as compared to the prognostic scales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A correlação entre o lactato e a albumina sérica parece ser uma nova alternativa para estimar a mortalidade, são marcadores séricos utilizados rotineiramente, o que implica não aumentar o gasto de recursos.  Objetivo geral:  Reportar a relação do índice lactato/albumina em pacientes com sepse e choque séptico com mortalidade na alta da terapia intensiva.  Material e métodos:  Realizou-se um estudo de coorte histórica, no qual foi calculada uma amostra de 30 pacientes, a partir dos quais os dados foram coletados no instrumento, retirados do prontuário.  Resultados:  O índice lactato/albumina foi um bom marcador prognóstico para a determinação da mortalidade na sepse e choque séptico, com significância estatística p &lt;0.001, preenche a hipótese de demonstrar que um índice de lactato / albumina maior que 1.7 se correlaciona com uma mortalidade superior aos 40% na sepse. Encontramos uma forte relação com a depuração do lactato em 6 horas, com resultados satisfatórios como preditor de mortalidade. O índice de lactato/albumina não foi relacionado ao desenvolvimento de disfunção de múltiplos órgãos.  Conclusões:  O índice de lactato/albumina maior que 1.7 está associado à uma mortalidade superior a 40% em pacientes com sepse. Não há relação entre o índice de lactato/albumina e o desenvolvimento de DOM. Existe uma correlação positiva do índice com as escalas prognósticas do SAPS, APACHEII e SOFA. A área sob a curva ROC foi maior para o índice lactato/albumina e o clearance de lactato às 6 horas, comparado às escalas prognósticas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Asociación lactato y albúmina]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[choque séptico]]></kwd>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="es"><![CDATA[índice]]></kwd>
<kwd lng="en"><![CDATA[Lactate and albumin association]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[septic shock]]></kwd>
<kwd lng="en"><![CDATA[sepsis]]></kwd>
<kwd lng="en"><![CDATA[index]]></kwd>
<kwd lng="pt"><![CDATA[Associação lactato e albumina]]></kwd>
<kwd lng="pt"><![CDATA[mortalidade]]></kwd>
<kwd lng="pt"><![CDATA[choque séptico]]></kwd>
<kwd lng="pt"><![CDATA[sepse]]></kwd>
<kwd lng="pt"><![CDATA[índice]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shankar-Hari]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Phillips]]></surname>
<given-names><![CDATA[GS]]></given-names>
</name>
<name>
<surname><![CDATA[Levy]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Seymour]]></surname>
<given-names><![CDATA[CW]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[VX]]></given-names>
</name>
<name>
<surname><![CDATA[Deutschman]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Developing a new definition and assessing new clinical criteria for septic shock: for the third international consensus definitions for sepsis and septic shock (sepsis-3)]]></article-title>
<source><![CDATA[JAMA [Internet]]]></source>
<year>2016</year>
<volume>315</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>775-87</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Musikatavorn]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Thepnimitra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Komindr]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Puttaphaisan]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rojanasarntikul]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Venous lactate in predicting the need for intensive care unit and mortality among nonelderly sepsis patients with stable hemodynamic]]></article-title>
<source><![CDATA[Am J Emerg Med [Internet]]]></source>
<year>2015</year>
<volume>33</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Junhasavasdikul]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Theerawit]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ingsathit]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kiatboonsri]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lactate and combined parameters for triaging sepsis patients into intensive care facilities]]></article-title>
<source><![CDATA[J Crit Care [Internet]]]></source>
<year>2016</year>
<volume>33</volume>
<page-range>71-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mohamed]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Essam]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disturbed fluid responsiveness and lactate/pyruvate ratio as predictors for mortality of septic shock patients]]></article-title>
<source><![CDATA[Egyptian Journal of Anaesthesia. [Internet]]]></source>
<year>2016</year>
<volume>32</volume>
<page-range>451-61</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Berger]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Garg]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Shapiro]]></surname>
<given-names><![CDATA[NI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serum lactate is a better predictor of short-term mortality when stratified by C-reactive Protein in adult emergency department patients hospitalized for a suspected infection]]></article-title>
<source><![CDATA[Ann Emerg Med [Internet]]]></source>
<year>2011</year>
<volume>57</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>291-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lyons]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Whelan]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Bennett]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Riordan]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Silke]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serum albumin as an outcome predictor in hospital emergency medical admissions]]></article-title>
<source><![CDATA[Eur J Intern Med [Internet]]]></source>
<year>2010</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>17-20</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Cao]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Xue]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Correlation of lactate/albumin ratio level to organ failure and mortality in severe sepsis and septic shock]]></article-title>
<source><![CDATA[J Crit Care [Internet]]]></source>
<year>2015</year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>271-5</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ha]]></surname>
<given-names><![CDATA[TS]]></given-names>
</name>
<name>
<surname><![CDATA[Shin]]></surname>
<given-names><![CDATA[TG]]></given-names>
</name>
<name>
<surname><![CDATA[Jo]]></surname>
<given-names><![CDATA[IJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hwang]]></surname>
<given-names><![CDATA[SY]]></given-names>
</name>
<name>
<surname><![CDATA[Chung]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Suh]]></surname>
<given-names><![CDATA[GY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lactate clearance and mortality in septic patients with hepatic dysfunction]]></article-title>
<source><![CDATA[Am J Emerg Med. [Internet]]]></source>
<year>2016</year>
<volume>34</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1011-5</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thomas-Rueddel]]></surname>
<given-names><![CDATA[DO]]></given-names>
</name>
<name>
<surname><![CDATA[Poidinger]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Weiss]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bach]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Dey]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Häberle]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hyperlactatemia is an independent predictor of mortality and denotes distinct subtypes of severe sepsis and septic shock]]></article-title>
<source><![CDATA[J Crit Care [Internet]]]></source>
<year>2015</year>
<volume>30</volume>
<page-range>439.e1-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
