
Amiya Ameer
Hamad Medical Corporation, IndiaPresentation Title:
Serum anion gap vs lactate clearance as a mortality predictor in critically ill
Abstract
In the pediatric intensive care unit (PICU), accurate mortality prediction is crucial for effective resource allocation. This prospective study aimed to assess the prognostic value of serum corrected anion gap (cAG) and lactate clearance in predicting mortality among 150 critically ill children at a tertiary hospital. PRISM III and IV scores, cAG measurements, and lactate levels (both admission and at 6 hours) were evaluated. The study observed a 12% mortality rate. Survivors exhibited significantly lower cAG levels than non-survivors (p < 0.001). Lactate levels at 6 hours demonstrated the highest predictive accuracy for mortality (AUC 0.898), followed by admission lactate (AUC 0.804) and cAG (AUC 0.742). These findings underscore the efficacy of cAG as a robust mortality predictor in resource-limited settings. However, the lactate clearance did not show good predictive value. Bringing us to the conclusion that cAG is an excellent mortality predictor in a low-resource setting. Implementing cAG measurement could facilitate early risk stratification and optimize clinical decision-making in the management of critically ill pediatric patients.
Biography
Amiya Ameer completed her undergraduate medical training in K.S Hegde Medical Academy, India and is currently pursuing her internship in Hamad Medical Corporation, Qatar. She developed a sincere passion for Pediatrics and Neonatology during her Medical School. That, combined with her curious nature, she delved into the world of research. She has published research as well blog articles. She hopes to pursue Pediatrics and make a tangible change in the world significant for all tiny humans.