Dergiler / Turkish Journal of Medical Sciences / 2017 / Cilt: 47 - Sayı: 2

The effects of the chloride:sodium ratio on acid-base status and mortality in septic patients

Sayfa
435–442
Yayın Tarihi
2022-11-05
DOI
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The patients were divided into three groups: low (

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Amaç & Hipotez:Background/aim: Calculation of the chloride:sodium (Cl:Na+) ratio is proposed to enable a quick evaluation of the effect of Cl and Na+ on the acid-base balance in critically ill patients.
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Temel Bulgular & Veri:Materials and methods: In our two-center study, 434 patients who were diagnosed with sepsis were included.
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Sonuç & Katkı:The patients were divided into three groups: low (
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Background/aim: Calculation of the chloride:sodium (Cl:Na+) ratio is proposed to enable a quick evaluation of the effect of Cl and Na+ on the acid-base balance in critically ill patients. In the present study, the relationship of the Cl:Na+ ratio of septic patients with acidbase status and ICU mortality were investigated. Materials and methods: In our two-center study, 434 patients who were diagnosed with sepsis were included. The patients were divided into three groups: low (

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Bu Makaleye Atıf Yap

GÜÇYETMEZ, B., ATALAN, H. K. (2022). The effects of the chloride:sodium ratio on acid-base status and mortality in septic patients. Turkish Journal of Medical Sciences, Cilt: 47 - Sayı: 2, 435–442. https://ajindex.com/articles/610470

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Kaynakça (14)

  1. Gunnerson KJ, Kellum JA. Acid-base and electrolyte analysis in critically ill patients: are we ready for the new millennium? Curr Opin Crit Care 2003; 9: 468-473
  2. Fidkowski C, Helstrom J. Diagnosing metabolic acidosis in the critically ill: bridging the anion gap, Stewart, and base excess methods. Can J Anaesth 2009; 56: 247-256
  3. Stewart PA. Modern quantitative acid-base chemistry. Can J Physiol Pharmacol 1983; 61: 1444-1461
  4. Fencl V, Jabor A, Kazda A, Figge J. Diagnosis of metabolic acidbase disturbances in critically ill patients. Am J Respir Crit Care Med 2000; 162: 2246-2251
  5. Nagaoka D, Nassar Junior AP, Maciel AT, Taniguchi LU, Noritomi DT, Azevedo LC, Neto LM, Park M. The use of sodium-chloride difference and chloride-sodium ratio as strong ion difference surrogates in the evaluation of metabolic acidosis in critically ill patients. J Crit Care 2010; 25: 525-531
  6. Durward A, Skellett S, Mayer A, Taylor D, Tibby SM, Murdoch IA. The value of the chloride: sodium ratio in differentiating the aetiology of metabolic acidosis. Intensive Care Med 2001; 27: 828-835
  7. Berndtson AE, Palmieri TL, Greenhalgh DG, Sen S. Strong ion difference and gap predict outcomes after adult burn injury. J Trauma Acute Care Surg 2013; 75: 555-560
  8. Kaplan LJ, Kellum JA. Initial pH, base deficit, lactate, anion gap, strong ion difference, and strong ion gap predict outcome from major vascular injury. Crit Care Med 2004; 32: 1120-1124
  9. Tani M, Morimatsu H, Takatsu F, Morita K. The incidence and prognostic value of hypochloremia in critically ill patients. ScientificWorldJournal 2012; 2012: 474185
  10. Story DA, Morimatsu H, Bellomo R. Hyperchloremic acidosis in the critically ill: one of the strong-ion acidoses? Anesth Analg 2006; 103: 144-148
  11. Gucyetmez B, Ayyildiz AC, Ogan A, Guder BY, Ozcobanoglu S, Ayyildiz A, Cakar N, Telci L. Dysnatremia on intensive care unit admission is a stronger risk factor when associated with organ dysfunction. Minerva Anestesiol 2014; 80: 1096-1104
  12. Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, Sevransky JE, Sprung CL, Douglas IS, Jaeschke R et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med 2013; 41: 580-637
  13. Tuhay G, Pein MC, Masevicius FD, Kutscherauer DO, Dubin A. Severe hyperlactatemia with normal base excess: a quantitative analysis using conventional and Stewart approaches. Crit Care 2008; 12: R66
  14. Ramadoss J