Análisis del nivel de lactato plasmático y su relación con el pronóstico en pacientes caninos críticos evaluados con el Score APACHE en el Hospital Veterinario All Pets de Quito

Abstract

In recent years Veterinary Medicine has taken a significant turn in regard to the evaluation and management of critical patients, this is why the present document focuses on the analysis of mortality indicators, such as the evaluation of the level of plasma lactate, clearance of the same and score APACHE II. A total of 26 critical dogs were sampled, sample population was selected at random, regardless of race, age, sex or pathology, and the patients included in the study were all patients at the All Pets Veterinary Hospital of Quito, with a time range of six months. Upon admission to the hospital, they underwent an initial clinical examination and monitoring of physiological constants. Blood samples were taken, which would serve to classify patients according to the APACHE Score and for the assessment of plasma lactate of T0, T6, and T12 at the time of patient admission to determine the lactate clearance. The results obtained, it is observed that there is a correlation between Score APACHE II and the level of lactate plasma, there is not a relation in all the pathologies. The digestive alterations were the ones that displayed a higher correlation with respect to a high value of Score APACHE II, with an average value of 22 and 23 points and a high level of lactate, with an average value of 9.5 y 12 mmol/L respectively. 100% of the patients had a decrease in the plasma lactate value in the second sample, which is related to adequate medical therapy, the geriatric patients had a higher mortality rate.