Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박보영 | - |
dc.date.accessioned | 2018-10-16T06:33:36Z | - |
dc.date.available | 2018-10-16T06:33:36Z | - |
dc.date.issued | 2016-08 | - |
dc.identifier.citation | AMERICAN JOURNAL OF EMERGENCY MEDICINE, v. 34, no. 8, page. 1359-1363 | en_US |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.issn | 1532-8171 | - |
dc.identifier.uri | https://www.sciencedirect.com/science/article/pii/S0735675716300092?via%3Dihub | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/76542 | - |
dc.description.abstract | Objectives: The purpose of the present study was to investigate the diagnostic value of lactate for predicting bacteremia in female patients with acute pyelonephritis (APN). Methods: We conducted a retrospective study of female patients with APN who visited the study hospital emergency department. The demographics, comorbidities, physiologies, and laboratory variables including white blood cell count and segmented neutrophil count, C-reactive protein, and initial serum lactate levels were collected and analyzed to identify associations with the presence of bacteremia. Results: During the study period, a total of 314 patients were enrolled. One hundred twenty-three patients (39.2%) had bacteremia. Escherichia coli was the most frequent pathogen. Logistic regression analysis demonstrated that the lactate level was independently associated with the presence of bacteremia (odds ratio, 1.39 [ 95% confidence interval, 1.08-1.78]). The C-statistic of the lactate level was 0.67 (95% CI, 0.60-0.73). At a cutoff value of 1.4 mmol/L, the lactate level predicted bacteremia with a sensitivity (53.7%), specificity (72.3%), positive predictive value (55.5%), negative predictive value (70.8%), positive likelihood ratio (1.93), and negative likelihood ratio (0.64). Conclusion: The initial serum lactate level showed poor discriminative performance for predicting bacteremia in female patients with APN. (C) 2016 Elsevier Inc. All rights reserved. | en_US |
dc.language.iso | en | en_US |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | en_US |
dc.subject | CLINICAL CHARACTERISTICS | en_US |
dc.subject | OCCULT BACTEREMIA | en_US |
dc.subject | EMERGENCY | en_US |
dc.subject | PROCALCITONIN | en_US |
dc.subject | ACCURACY | en_US |
dc.subject | MARKER | en_US |
dc.subject | CURVE | en_US |
dc.subject | WOMEN | en_US |
dc.subject | MODEL | en_US |
dc.title | Diagnostic performance of initial serum lactate for predicting bacteremia in female patients with acute pyelonephriti | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1016/j.ajem.2016.03.062 | - |
dc.relation.journal | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.contributor.googleauthor | Seo, Dong Young | - |
dc.contributor.googleauthor | Jo, Sion | - |
dc.contributor.googleauthor | Lee, Jae Baek | - |
dc.contributor.googleauthor | Jin, Young Ho | - |
dc.contributor.googleauthor | Jeong, Taeoh | - |
dc.contributor.googleauthor | Yoon, Jaechol | - |
dc.contributor.googleauthor | Park, Boyoung | - |
dc.relation.code | 2016009401 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | hayejine | - |
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