Good Morning, I have a couple of questions relating to mortality and lactate:
1. The first question; at our organization, I can't seem to get a handle on our mortality in the lactate acid group of 4 or greater. We set our goal @ 24.8%; however, we are seeing mortality at 40%. We exclude any patient that is made a CMO within 24 hrs and any patient that is admitted to hospice. We have order sets in place. I am looking for suggestions on how others have decreased their mortality is this group. I do understand that this group may have more comorbidities; however, our mortality seems a little high, especially when our overall morality is around 14%. 2. My second question relates to #1. When determining mortality in the lactate group, which measure should we looking at; lactate on admission or the last lactate that was drawn on the patient? For example, I have a patient that arrived in the ED with a LA of 13, two days later dropped to 3.0; the patient expired. For data purposes, what LA group should she be placed in? Thank you for your input. Lisa Lisa Dumont RN MSN Sepsis Coordinator-SHG Saint Luke's Hopsital 101 Page St. New Bedford MA 02740 Phone 508-997-1515 Ext. 5833 [email protected] CONFIDENTIALITY NOTICE: This e-mail and any files transmitted with it are confidential and may contain health information protected by law. Any unauthorized use or disclosure is strictly prohibited. If you are not the intended recipient, please notify the sender by return email, delete this email, and destroy any copies. Please note that any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Southcoast. The recipient should check this e-mail and any attachments for the presence of viruses. Southcoast accepts no liability for any damage caused by any virus transmitted by this e-mail.
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