A study on mean anion gap over 6 hours after admission as a predictor of pediatric mortality in pediatric intensive care unit

Mayank Jain; Priya Jain; Sandeep Narayan Lal; Vivek Ranjan

doi:10.18203/issn.2454-2156.IntJSciRep20202097

Authors

Mayank Jain Department of Pediatrics, 2St. Stephens Hospital, Delhi
Priya Jain Department of Pathology, St. Stephens Hospital, Delhi
Sandeep Narayan Lal Department of Pediatrics, 2St. Stephens Hospital, Delhi
Vivek Ranjan Department of Pediatrics, 2St. Stephens Hospital, Delhi

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20202097

Keywords:

Anion gap, Lactates, Mortality, PICU, Blood gas

Abstract

Background: The aims of the study was to correlate change in anion gap at 0 and 6 hours of admission with mortality in pediatric intensive care unit (PICU).

Methods: Fifty children up to 12 years of age, admitted in PICU were included in the study. Blood gas anion gap levels were taken at 0 and 6 hours of admission and change in anion gap was calculated. Final outcome was recorded.

Results: Out of 50 patients enrolled in the study, 18 (36%) patients died and 32 (64%) survived. Mortality was higher in group with increased anion gap after 6 hours of admission as compared to survived. Change in anion gap was higher in expired patient as compared to survivors.

Conclusions: Mortality was higher in group with increased anion gap after 6 hours of admission.

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