Elevated blood lactate in COPD exacerbations associates with adverse clinical outcomes and signals excessive treatment with β


Journal

Respirology (Carlton, Vic.)
ISSN: 1440-1843
Titre abrégé: Respirology
Pays: Australia
ID NLM: 9616368

Informations de publication

Date de publication:
09 2023
Historique:
received: 09 11 2022
accepted: 31 05 2023
medline: 21 8 2023
pubmed: 4 7 2023
entrez: 3 7 2023
Statut: ppublish

Résumé

Raised blood lactate secondary to high dose β Retrospective (n = 199) and prospective studies (n = 142) of patients hospitalized with AECOPD were conducted. The retrospective cohort was identified via medical records and the prospective cohort was recruited during hospitalization for AECOPD. Baseline demographics, comorbidities, β Demographic data and comorbidities were similar between high versus normal lactate groups in both cohorts. The populations were elderly (mean >70 years), predominantly male (>60%) with reduced FEV Elevated lactate during AECOPD was common, unrelated to sepsis and correlated with high cumulative doses of β

Sections du résumé

BACKGROUND AND OBJECTIVE
Raised blood lactate secondary to high dose β
METHODS
Retrospective (n = 199) and prospective studies (n = 142) of patients hospitalized with AECOPD were conducted. The retrospective cohort was identified via medical records and the prospective cohort was recruited during hospitalization for AECOPD. Baseline demographics, comorbidities, β
RESULTS
Demographic data and comorbidities were similar between high versus normal lactate groups in both cohorts. The populations were elderly (mean >70 years), predominantly male (>60%) with reduced FEV
CONCLUSION
Elevated lactate during AECOPD was common, unrelated to sepsis and correlated with high cumulative doses of β

Identifiants

pubmed: 37400102
doi: 10.1111/resp.14534
doi:

Substances chimiques

Adrenergic beta-2 Receptor Agonists 0
Lactates 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

860-868

Informations de copyright

© 2023 The Authors. Respirology published by John Wiley & Sons Australia, Ltd on behalf of Asian Pacific Society of Respirology.

Références

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Auteurs

Martin I MacDonald (MI)

Monash Lung and Sleep, Monash Health, Melbourne, Victoria, Australia.
Department of Medicine, Monash University, Melbourne, Victoria, Australia.
Hudson Institute, Melbourne, Victoria, Australia.

Kevan R Polkinghorne (KR)

Department of Medicine, Monash University, Melbourne, Victoria, Australia.

Chris J MacDonald (CJ)

Royal Alexandra Hospital, Paisley, Renfrewshire, UK.

Paul Leong (P)

Monash Lung and Sleep, Monash Health, Melbourne, Victoria, Australia.
Department of Medicine, Monash University, Melbourne, Victoria, Australia.
Hudson Institute, Melbourne, Victoria, Australia.

Kais Hamza (K)

Department of Mathematical Sciences, Monash University, Melbourne, Victoria, Australia.

Gayan Kathriachchige (G)

Monash Lung and Sleep, Monash Health, Melbourne, Victoria, Australia.

Christian Robert Osadnik (CR)

Monash Lung and Sleep, Monash Health, Melbourne, Victoria, Australia.
Department of Physiotherapy, Monash University, Melbourne, Victoria, Australia.

Paul T King (PT)

Monash Lung and Sleep, Monash Health, Melbourne, Victoria, Australia.
Department of Medicine, Monash University, Melbourne, Victoria, Australia.
Hudson Institute, Melbourne, Victoria, Australia.

Philip G Bardin (PG)

Monash Lung and Sleep, Monash Health, Melbourne, Victoria, Australia.
Department of Medicine, Monash University, Melbourne, Victoria, Australia.
Hudson Institute, Melbourne, Victoria, Australia.

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