Document Detail


On admission hypomagnesemia in critically ill children: Risk factors and outcome.
MedLine Citation:
PMID:  19936657     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the frequency and associated risk factors of hypomagnesemia in pediatric intensive care unit on admission in a developing country. METHODS: It is a retrospective chart review of 179 children aged 1 mo - 15yr admitted in Pediatric Intensive Care Unit of our university during 18 months and recorded serum Mg level on admission. Patients were divided into two groups according to their Mg level (Normo-magnesemic and Hypomagnesemic) and their p-value, crude and adjusted odds ratios (AoR) were calculated. RESULTS: Upon admission in PICU 79(44%) patients were found hypomagnesemia. There was no difference in age and gender between two groups. The important risk factors identified were age greater than one yr (p 0.05, AOR 3.71), sepsis (p 0.03, AOR 3.11), hypokalemia (p 0.06, AOR 1.8), hypocalcemia (p 0.05, AOR 1.6), diuretic use (p 0.05, AOR 1.37), Aminoglycoside use (p 0.003, AOR 3.12), and hospitalization greater than five days (p 0.03, AOR 1.71). Those with normo-magnesemic had higher mortality rate (32/100 or 32%) than those with hypomagnesemia (22/79 or 27.8%). CONCLUSION: The present finding indicates that hypomagnesemia is a common among PICU patients and is influenced by several factors.
Authors:
Anwarul Haque; Ali Faisal Saleem
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  76     ISSN:  0973-7693     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  1227-30     Citation Subset:  IM    
Affiliation:
Department of Pediatrics and Child Health, The Aga Khan University Hospital, Karachi. anwar.haq@aku.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Critical Illness* / mortality
Female
Humans
Incidence
Infant
Intensive Care Units, Pediatric / statistics & numerical data
Magnesium Deficiency / blood,  epidemiology*,  etiology
Male
Pakistan / epidemiology
Retrospective Studies
Risk Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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