NON-SHOCK SEPTIC SUBJECT: ANALYSING THE RELATIONSHIP BETWEEN MORTALITY AND RESULTANT SEPTIC SHOCK.

Background: Since blood lactate can result in tissue hypoxia and hypoperfusion and has been related to mortality, blood lactate levels should be closely monitored in all patients with septic shock and severe sepsis. Objective: In non-shock septic people, the current study aimed to explore the association between early blood lactate levels and death and eventual septic shock. Methods: Initial serum lactate levels in the emergency ward and 224 sepsis patients admitted to a noncritical department were assessed in this retrospective analysis. The experiment was not open to subjects with hyperlactatemia of any other aetiology. Results: Pneumonia was the most common cause of sepsis, accounting for 44.5% (n=213) of the cases. More intravenous fluid was given to Group II with high lactate levels compared to the group with low lactate levels. Six patients from Group I and 24 participants from Group II received IV fluid (>1500 ml). Compared to Group I (consisting of 13 people), Group II (30 participants) had a greater frequency of initial positive hemoculture. Compared to 23 people in Group II, only 5 individuals in Group I went through 3 days of septic shock. Ten people in Group I died after 28 days, whereas 40 people in Group II did. Conclusion, early blood lactate levels of ≥2 mmol/L in patients with non-shock sepsis are associated with significant mortality rates and septic shock. Blood lactate level composites and other prediction scores can be used to predict participant mortality more precisely [ABSTRACT FROM AUTHOR]