Jang et al reported prognostic factors for a patient with alcoholic ketoacidosis (AKA). This can help to identify a patient who may require more aggressive management. The authors are from Gyeongsang National University Hospital, Changwon Gyeongsang National University Hospital and Gyeongsang National University in South Korea.
Patient selection: alcoholic ketoacidosis (AKA)
Predictors for nonsurvival on multivariate analysis:
(1) serum albumin < 3.0 g/dL
(2) serum LDH concentration > 800 IU/L
Other factors identified on univariate analysis:
(1) logistic organ dysfunction score (LODS) > 6
(2) arterial pH < 7.0
Non-survivors also tended to have:
(1) need for inotropic support on admission (circulatory failure)
(2) need for mechanical ventilation (respiratory failure)
(3) need for renal replacement failure (renal failure)
