Severe acidosis does not predict fatal outcomes in ICU patients - a retrospective analysis Yoav Paz MD, MHA, Alexander Zegerman MD, Patrick Sorkine MD, Idit Matot MD PII: DOI: Reference:
S0883-9441(13)00444-9 doi: 10.1016/j.jcrc.2013.11.007 YJCRC 51370
To appear in:
Journal of Critical Care
Received date: Revised date: Accepted date:
17 September 2013 2 November 2013 10 November 2013
Please cite this article as: Paz Yoav, Zegerman Alexander, Sorkine Patrick, Matot Idit, Severe acidosis does not predict fatal outcomes in ICU patients - a retrospective analysis, Journal of Critical Care (2013), doi: 10.1016/j.jcrc.2013.11.007
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Cover sheet
Severe acidosis does not predict fatal outcomes in ICU patients - a
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retrospective analysis
Yoav Paz, Alexander Zegerman, Patrick Sorkine, Idit Matot
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Department of Anesthesiology, Critical Care and Pain Medicine, Tel Aviv Sourasky
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Medical Center, Sackler School of Medicine, Tel Aviv University, Israel.
Yoav Paz MD, MHA
General Intensive Care Unit, Department of Anesthesiology, Critical Care and Pain Medicine, Tel Aviv Sourasky Medical Center, 6 Weitzman Street, Tel Aviv, 64239
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Israel
Alexander Zegerman MD,
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General Intensive Care Unit, Department of Anesthesiology, Critical Care and Pain
Israel
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Medicine, Tel Aviv Sourasky Medical Center, 6 Weitzman Street, Tel Aviv, 64239
Patrick Sorkine MD, General Intensive Care Unit, Department of Anesthesiology, Critical Care and Pain Medicine, Tel Aviv Sourasky Medical Center, 6 Weitzman Street, Tel Aviv, 64239 Israel
Idit Matot MD, Chair & Prof, Department of Anesthesiology, Critical Care and Pain Medicine, Tel Aviv Sourasky Medical Center, 6 Weitzman Street, Tel Aviv, 64239 Israel
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Corresponding author: Idit Matot MD, Chair & Prof, Department of Anesthesiology, Critical Care and Pain Medicine, Tel
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Aviv Sourasky Medical Center, 6 Weitzman Street, Tel Aviv, 64239 Israel Fax: 97236973026
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Tel: 972524262799
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E-mail:
[email protected] Conflict of interest:
There are no relevant conflicts of interest for all authors.
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Word count of the paper: 1802 words
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Key words: Acidosis; intensive care; resuscitation; sepsis; survival
Abstract
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Purpose:
Severe acidosis is a potentially life-threatening acid – base imbalance. The outcome of patients with severe acidosis has only been anecdotally described. We, therefore,
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assessed discharge rate of such patients from the ICU and survival time after the
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event.
Methods:
A retrospective evaluation of medical records of patients admitted to the ICU of Tel Aviv Medical Center between 2005-2010, in whom arterial blood pH