Research Article

The Predictive Role of Lactate in the Emergency Department in Patients with Severe Dyspnea

Table 7

Analysis of the arterial blood gas, venous blood gas, and mixed ABG/VBG regression model.

Died (15)Survived (20)Mann–Whitney Univariate logistic regression OR (95% CI)

ABG (known FiO2)P/F median (Q1–Q3)199.33 (88.57–277.14)251.19 (188.86–323.1)0.13060.99 (0.984–1.001)0.094
pO2 median (Q1–Q3), mmHg62 (58.2–73.4)63.75 (51.2–74)0.67451 (0.989–1.008)0.7798
pCO2 median (Q1–Q3), mmHg36.4 (32.1–63.9)39.25 (35.35–42.75)0.9151.01 (0.969–1.048)0.6801
pH median (Q1–Q3)7.38 (7.17–7.46)7.42 (7.38–7.46)0.18760.01 (0.000–1.485)0.07
sO2 median (Q1–Q3), %92.4 (87.5–95.7)93.85 (87.95–96.2)0.55860.95 (0.869–1.041)0.2779
HCO3 median (Q1–Q3), mmol/L20.1 (15–24.1)25.3 (23.5–26.4)0.00920.74 (0.579–0.937)0.013
BE median (Q1–Q3), mmol/L−5.9 (−13.8 do −1.2)1.25 (−0.9 do 2.3)0.01150.8 (0.661–0.959)0.0166
LAC median (Q1–Q3), mmol/L3.3 (1.8–9)1.15 (0.85–1.7)<0.00011.58 (1.013–2.470)0.0435

Died (17)Survived (45)
VBG (known FiO2)P/F median (Q1–Q3)108.57 (87.8–127)140 (87.62–169.52)0.14450.99 (0.976–1.002)0.1146
pO2 median (Q1–Q3), mmHg30.7 (25–38.1)30 (23.2–36.4)0.76351.02 (0.960–1.080)0.5268
pCO2 median (Q1–Q3), mmHg44.2 (38.7–56.2)43.7 (41.6–48.6)0.68151.03 (0.958–1.111)0.403
pH median (Q1–Q3)7.34 (7.26–7.39)7.38 (7.35–7.42)0.02881.05 (0.235–4.658)0.9516
sO2 median (Q1–Q3), %42.6 (32.4–72.1)56 (33.7–67.8)0.95951 (0.970–1.025)0.8482
HCO3 median (Q1–Q3), mmol/L21 (17.3–25.2)24.6 (23.7–25.8)0.02930.95 (0.841–1.064)0.3555
BE median (Q1–Q3), mmol/L−3.5 (−6.9–2.5)1.8 (0–3.2)0.04650.94 (0.857–1.0342)0.2095
LAC median (Q1–Q3), mmol/L2.6 (1.5–4.7)1.7 (1.1–2.25)0.01351.8 (1.129–2.875)0.0134

Died (38)Survived (70)
ABG/VBGP/F median (Q1–Q3)126.36 (88.19–192.05)163.81 (103–200)0.25361 (0.992–1.002)0.3663
pO2 median (Q1–Q3), mmHg43.05 (26.4–61.4)36.35 (26.9–50.9)0.39661 (0.994–1.010)0.5153
pCO2 median (Q1–Q3), mmHg45.1 (36.4–59)42.8 (38.5–48.4)0.46991.01 (0.977–1.047)0.5106
pH median (Q1–Q3)7.35 (7.17–7.41)7.39 (7.35–7.43)0.01170.7 (0.200–2.421)0.5703
sO2 median (Q1–Q3), %72.45 (34.4–91.4)67.8 (44.1–87.8)0.85391.01 (0.990–1.024)0.4065
HCO3 median (Q1–Q3), mmol/L20.7 (15.6–24.5)24.7 (23.3–26.2)0.00030.87 (0.788–0.964)0.0075
BE median (Q1–Q3), mmol/L−3.55 (−10.3–1.3)1.5 (−0.9–2.9)0.00040.89 (0.822–0.961)0.031
LAC median (Q1–Q3), mmol/L3.15 (1.7–8)1.5 (1.1–2.2)<0.00011.68 (1.221–2.3064)0.0014

OR, odds ratio; CI, confidence interval; P/F, PaO2/FiO2 ratio; BE, base excess; LAC, lactate. For the clarity, in each table the P < 0.05 has been highlighted in bold letters.