Calcium, magnesium and phosphorus deficiency in critically ill children
المؤلفون المشاركون
al-Beleidy, Ahmad
al-Jubayli, Abd Allah Fadl
Ahmad, Arwa
al-Shirbini, Siham Awad
المصدر
Egyptian Pediatric Association Gazette
العدد
المجلد 65، العدد 2 (31 يوليو/تموز 2017)، ص ص. 60-64، 5ص.
الناشر
تاريخ النشر
2017-07-31
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
العلوم الاجتماعية (متداخلة التخصصات)
الطب البشري
الموضوعات
الملخص EN
ntroduction : Critical illness may trigger an acute phase response which is associated with several metabolic derangements.
These include hypo- and hypercalcemia, hypo- and hyperphosphatemia, hypo- and hypomagnesaemia.
Method: Therefore, we conducted a prospective, non-interventional study in 10 beds intensive care unit of the at Pediatric Intensive Care Unit, Cairo University Pediatric Hospital.
During 6 months period to investigate the incidence & risk factors of magnesium, phosphorus & calcium deficiency in patients admitted to the intensive care unit (ICU) on admission and followed the course of deficiency at day 3 & ten during stay.
Results: Out of 70 patients, the frequency of Calcium deficiency was (34%), magnesium deficiency (31%), phosphorus deficiency (47%) on admission.
Calcium and magnesium deficiency frequency changed gradually after 72 h & 10 days; in response to intravenous supplementation for deficient patients.
While phosphorus level declined during follow up.
Respiratory failure (87%) was the most common organ failure followed by neurological failure.
Patients with hypocalcaemia on admission had a higher PELOD score (P = 0.10), coagulopathy (P = 0.044), sepsis diagnoses (P = 0.007), metabolic acidosis (P = <0.001), hyperglycemia (P = 0.006) hypomagnesaemia (P = <0.001), hypoalbuminemia (P = 0.004).
While hypomagnesaemia risk factors were coagulopathy (P = 0.039), inborn error of metabolism (P = 0.039), sepsis diagnoses (P = 0.045), hypocalcaemia (P = <0.001), hypophosphatemia (P = 0.004), hypoalbuminemia (P = 0.042).
Hypophosphatemia was associated with hypokalemia (P = 0.003) & hypomagnesaemia (P = 0.004).
Regression analysis revealed metabolic acidosis & hyperglycemia were associated with calcium deficiency, while inborn error of metabolism and hypophosphatemia with magnesium deficiency.
Risk factors for Hypophosphatemia are hypokalemia & hypomagnesaemia.
Conclusion: Hypophosphatemia was the most frequent and under estimated electrolyte disturbance in our study.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Beleidy, Ahmad& al-Shirbini, Siham Awad& al-Jubayli, Abd Allah Fadl& Ahmad, Arwa. 2017. Calcium, magnesium and phosphorus deficiency in critically ill children. Egyptian Pediatric Association Gazette،Vol. 65, no. 2, pp.60-64.
https://search.emarefa.net/detail/BIM-761249
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Shirbini, Siham Awad…[et al.]. Calcium, magnesium and phosphorus deficiency in critically ill children. Egyptian Pediatric Association Gazette Vol. 65, no. 2 (Jul. 2017), pp.60-64.
https://search.emarefa.net/detail/BIM-761249
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Beleidy, Ahmad& al-Shirbini, Siham Awad& al-Jubayli, Abd Allah Fadl& Ahmad, Arwa. Calcium, magnesium and phosphorus deficiency in critically ill children. Egyptian Pediatric Association Gazette. 2017. Vol. 65, no. 2, pp.60-64.
https://search.emarefa.net/detail/BIM-761249
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 63-64
رقم السجل
BIM-761249
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر