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In the setting of severe sepsis and septic shock, mortality increases when lactate levels are ≥ 4 mmol/L. However, the consequences of lower lactate levels in this population are not well understood. The study aimed to determine the in-hospital mortality associated with severe sepsis and septic shock when initial lactate levels are &lt; 4 mmol/L.

Outcomes of severe sepsis and septic shock patients after stratification by initial lactate value