Document Type : original article
Authors
- Negar Shafaei-Bajestani 1
- maryam shahrokhi 2
- saeid Sadat Mansouri 3
- amirmohammad davarifardpur 4
- ali afzali 4
1 Department of Pharmacology, Faculty of medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
2 Clinical Research Development Center of Imam Khomeini Hospital, Jiroft University of Medical Sciences, Jiroft, Iran
3 Department of Pediatrics, School of Medicine, 17Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran
4 Student Research Committee, School of Pharmacy, Guilan University of Medical Sciences, Rasht, Iran
Abstract
Abstract:
Objective and aims: The mean prevalence of hypomagnesemia in pediatric intensive care unit is 18-44% in different studies. In patients with hypomagnesemia compared to patients with normal magnesium level, there is a significant difference in terms of mortality, duration of hospitalization and ICU stay, the need for mechanical ventilation and its duration. The aim of this study was assessing the prevalence of hypomagnesemia in PICU and the impact of it on patients’ prognosis.
Methods: The current study was a prospective analytical study. Ninety patients between 1 month and 12 years old were included. A detailed medical history, clinical examination and on admission magnesium level were performed on all patients. The prognosis of the patients was evaluated by the length of PICU and hospital stay, the duration of mechanical ventilation and mortality.
Results: The mean concentration of magnesium level was 1.9±0.2 mg/dl and 91.1% of patients were normomagnesemia and 5.6% were hypomagnesemia. The average duration of PICU stay in this study was about 8.1±3.8 days and the average duration of need for ventilator was 2.0±6.9 days. Only 18.9% patients needed mechanical ventilation. Magnesium level was not correlated with PICU stay, need for mechanical ventilation, mortality and other electrolytes concentration except serum phosphorous
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