Effect of time until sample analysis on lactate in dogs with shock

© 2020 American Society for Veterinary Clinical Pathology.

Bibliographische Detailangaben
Veröffentlicht in:Veterinary clinical pathology. - 1975. - 49(2020), 4 vom: 08. Dez., Seite 614-617
1. Verfasser: Rizzo, Kaila N (VerfasserIn)
Weitere Verfasser: Rozanski, Elizabeth A, DeLaforcade, Armelle M
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:Veterinary clinical pathology
Schlagworte:Journal Article Observational Study, Veterinary artifact hyperlactatemia lactic acidosis spurious storage Lactic Acid 33X04XA5AT
Beschreibung
Zusammenfassung:© 2020 American Society for Veterinary Clinical Pathology.
INTRODUCTION: Lactate concentrations can increase with hypoperfusion in dogs and could be used as a prognostic indicator in sick dogs. In a busy emergency service, sample evaluation could be delayed. However, sample evaluation delays have been shown to cause lactate concentration increases in healthy dogs. In sick dogs, the magnitude of increased lactate is unknown. The goal of this study was to prospectively evaluate the effect of room temperature storage times on lactate measurements in dogs presenting to an emergency service
METHODS: We evaluated the precision and accuracy of the NOVA Lactate Plus, using standard procedures. To assess the impact of time on lactate concentrations in sick dogs, we prospectively enrolled dogs presenting to an emergency service. Lactate concentrations were measured at six time points using samples stored at room temperature. A Friedman test, followed by a Wilcoxon rank test with a Bonferroni correction was used to evaluate time points
RESULTS: Forty-five dogs were enrolled in this prospective observational study. The Lactate Plus and table-top analyzer compared favorably, with an R2 of .98, and a mean bias of 0.26 in 50 canine samples. Precision was acceptable, with a percent coefficient of variation of 5.39. Statistically significant increases in lactate concentrations were found at all time points over baseline (P = .008)
CONCLUSIONS: In as little as 7.5 minutes, lactate concentrations increased significantly in samples stored at room temperature. Dogs with lower initial lactate concentrations had had higher increases in lactate concentration percentages over 90 minutes
Beschreibung:Date Completed 17.09.2021
Date Revised 31.05.2022
published: Print-Electronic
Citation Status MEDLINE
ISSN:1939-165X
DOI:10.1111/vcp.12915