Combined lactate, base excess, and MEWS score as predictors of ICU transfer from the emergency department: a retrospective cohort study
Lac and BE are independent predictors of 28-day mortality in ED patients admitted to the ICU. BE adds significantly more predictive value to MEWS than Lac. The Lac + BE + MEWS combined model demonstrates the strongest stability and optimal risk-stratification performance, particularly for patients with MEWS scores of 5-8.
Authors
- LI Xuchu
- Xin Zhao (ORCID: https://orcid.org/0000-0003-2860-5899)
- Luo Yang
- Du Yao
- Wang Yang
- Zhang Meiyuan
- Meng Qiong
- Li Li
Institutions
- Jiujiang University (CN)
- International Peace Maternity & Child Health Hospital (CN)
- Yunnan University of Traditional Chinese Medicine (CN)
Publication Details
- Journal
- Frontiers in Medicine
- Published
- 2026-01-20
- DOI
- https://doi.org/10.3389/fmed.2026.1759754
- Primary Topic
- Renal function and acid-base balance
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China