Lisa, In response to your queries, we have routinely seen high mortality for sever sepsis with a lactate of >4 so just keep going, as it sounds like you are doing something right if your overall mortality is down at 14%. Secondly, we routinely use the lactate in arrival, as the later measures are more an indication of the success of resuscitation.
Heather McClelland Sent from my iPhone On 6 Dec 2013, at 00:08, "Lisa Dumont" <[email protected]<mailto:[email protected]>> wrote: Warning: This message contains unverified links which may not be safe. You should only click links if you are sure they are from a trusted source. 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]<mailto:[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. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ________________________________ Disclaimer: This is an e-mail from Calderdale and Huddersfield NHS Foundation Trust (the Trust). This message and any files transmitted with it are confidential. If you are not the intended recipient any reading, printing, storage, disclosure, copying or any other action taken in respect of the e-mail is prohibited and may be unlawful. If you have received this message in error, please notify the sender immediately by using the reply function and then delete what you have received. The Trust accepts no responsibility for any changes made to this message after it has been sent by the original author. The views or opinions contained herein do not necessarily represent the views of the Trust. This e-mail or any of its attachments may contain data that falls within the scope of the Data Protection Acts. You must ensure that any handling or processing of such data by you is fully compliant with the terms and provisions of the Data Protection Act 1984 and 1998. Please note that as the sender of this email is a Public Authority, the contents of any email received in response, even if marked confidential, may be disclosed in accordance with the Freedom of Information Act 2000 unless legally exempt.
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