Multicenter implementation of a treatment bundle for patients with sepsis and intermediate lactate values improved bundle compliance and was associated with decreased hospital mortality. These decreases were mediated by improved mortality and increased fluid administration among patients with a history of heart failure and/or chronic kidney disease.
Ludhmila Abrahão Hajjar, Jean Louis Vincent, F Galas, Jáder Pereira Almeida, Fábio Biscegli Jatene, P Bueno, J Fukushima, Rosana Ely Nakamura, C. M. Silva, Roberto Kalil Filho, José Otávio Costa Auler Júnior
John A. Kellum, Antonio Artigas, Kyle J. Gunnerson, Patrick M. Honoré, J. Patrick Kampf, Thomas Kwan, Paul McPherson, H. Bryant Nguyen, Thomas Rimmelé, Nathan I. Shapiro, Jing Shi, Jean Louis Vincent, Lakhmir S. Chawla
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