Blood lactate and interleukin-6 role in the prediction of septic shock in children at Ninh Thuan General hospital, 2025-2026

Tran Quang Khai, Le Huy Thach, Nguyen Cong Tam, Nguyen Van Lap

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Abstract

A prospective cohort study was conducted on 72 children aged 2 months to 15 years old diagnosed with sepsis at Ninh Thuan General Hospital from July 2025 to April 2026 to determine the value of blood lactate and interleukin-6 (IL-6) in predicting septic shock. The proportion of septic shock was 13.9%. Blood lactate and IL-6 levels were significantly higher in the shock group compared to the non shock group (p < 0.05). ROC curve analysis showed that both markers had good discriminative ability for septic shock  the optimal cut   off value of lactate was 4.8 mmol/L (sensitivity 83.3%, specificity 80.0%) and IL-6 was 40.78 pg/mL (sensitivity 95.1%, specificity 74.2%). After 24 hours of treatment, lactate and IL 6 levels decreased markedly, reflecting improvement in tissue perfusion and inflammatory response. Combining lactate and IL 6 values facilitates early prediction of septic shock in children, which is particularly useful at provincial general hospitals.

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References

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