( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57



Dr. Raveesha A*, Dr. Rahul V, Dr. Prabhakar K, Dr. Lakshmaiah V, Dr. Raghavendra Prasad BN, Dr. Reddy Prasad K.


Objectives: 1. To study the role of blood lactate levels in sepsis., 2. To study blood lactate levels in sepsis in relation to survival outcome. Materials and methods: This is an observational cohort study done in 67 patients admitted to R.L. Jalappa Hospital. Subject’s history and clinical examination suggestive of sepsis satisfying the inclusion and exclusion criteria were taken into the study. Arterial Blood lactate levels were measured at the time of admission, 12 hours, 24 hours and 36 hours by using epoc blood gas analyzer. Relevant investigations including haemogram, blood gas analysis, blood urea, serum creatinine, electrocardiogram and x-ray were done. The patients were followed till the time of discharge or death. Results: The mean arterial blood lactate levels at the time of admission, 12 hours, 24 hours, 36 hours in sepsis patients who survived are 3.47 ± 3.21, 2.86 ± 2.89, 2.19 ± 1.49, 1.84 ± 0.81mmol/lit respectively and mean blood lactate levels in non survivors are 5.61 ± 3.75, 4.75 ± 3.28, 3.60 ± 1.94, 2.42 ± 1.84 mmol/lit at the time of admission, 12 hours, 24 hours, 36 hours respectively. There was a significant association between blood lactate levels and outcome. In the non-survivors lactate levels was found to be greater than 4 mmol/lit in 64% patients. At admission sensitivity and specificity for lactate in predicting mortality is 76.5% and 30% respectively. Lactate levels at 24 hours has got much higher sensitivity of 77.8% and specificity of 32% in predicting mortality. Conclusion: Arterial blood lactate is elevated in sepsis patients and there is an increased risk of mortality if the elevation is above 4 mmol/lit.

Keywords: sepsis, arterial blood lactate, prognostic marker.

[Full Text Article]



  • New Issue Published

    Its Our pleasure to inform you that, EJPMR 1 November 2021 Issue has been Published, Kindly check it on


    NOVEMBER Issue has been successfully launched on 1 November 2021.

  • EJPMR New Impact Factor

    Its our Pleasure to Inform you that EJPMR Impact Factor has been increased from  5.804 to 6.222, due to high quality Publication at International Level

  • Index Copernicus Value

    EJPMR Received Index Copernicus Value 79.57, due to High Quality Publication in EJPMR at International Level

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.


  • Article Invited for Publication

    Article are invited for publication in EJPMR Coming Issue

Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )