Normal Lactate and Unenhanced CT-Scan Result in Delayed Diagnosis of Acute Mesenteric Ischemia.
Am J Gastroenterol
; 115(11): 1902-1905, 2020 11.
Article
em En
| MEDLINE
| ID: mdl-33156109
ABSTRACT
INTRODUCTION:
To investigate the factors associated with a delayed diagnosis (DD) of acute mesenteric ischemia (AMI).METHODS:
An observational cohort study from an intestinal failure center. The primary outcome was DD >24 hours.RESULTS:
Between 2006 and 2015, 74 patients with AMI were included and 39 (53%) had a DD. Plasma lactate <2 mmol/L (odd ratio 3.2; 95% confidence interval 1.1-9.1; P = 0.03) and unenhanced computed tomography scan (odds ratio 5.9; 95% confidence interval 1.4-25.8; P = 0.01) were independently associated with DD.DISCUSSION:
Suspicion of AMI should no longer be affected by normal plasma lactate levels and should prompt evaluation by a contrast-enhanced computed tomography-scan.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tomografia Computadorizada por Raios X
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Ácido Láctico
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Meios de Contraste
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Diagnóstico Tardio
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Isquemia Mesentérica
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
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Screening_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article