STUDY OF PREVALENCE OF HYPOMAGNESEMIA AND CLINICAL OUTCOME IN CRITICALLYILL-PATIENTS IN TERTIARY CARE CENTER IN ANDHRA PRADESH
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 7
Abstract
BACKGROUND Magnesium is the second most prevalent intracellular cation. Hypomagnesemia is common, occurring in approximately 12% of hospitalized patients. Among ICU patients, prevalence of hypomagnesemia ranges from 11% to 65%. MATERIALS AND METHODS A prospective study was conducted at tertiary care teaching hospital (Rangaraya Medical College) of Andhra Pradesh from January 2018 to December 2018. 100 patients admitted in intensive care units were selected for the study. After obtaining a written informed consent and ethical clearance patients were subjected to clinical examination and investigated for serum magnesium, serum calcium, serum potassium, serum sodium, blood urea nitrogen, serum creatinine. RESULTS The data was analysed, and results were tabulated. Patients were divided into two groups based on the magnesium levels less than 1.8mg/dl hypomagnesemics, n = 50 and more than 1.8 normomagnesemics, n=50. Results were compared between two groups. The following results were observed. In this study 48% of patients aged more than 60 years with serum magnesium levels less than 1.8mg/dl, 52% was age less than 60 years. 26% of patients with magnesium levels of more than 1.8mg/dl aged more than 60 years and 74% less than 60 years. In the present study among the patients with magnesium levels less than 1.8mg/dl, 62% of patients are males and 38% are females and male to female ratio 1.63:1 while in those with magnesium levels of more than 1.8mg/dl, 74% were males and 26% females with male to female ratio 2.84:1. However this difference was statistically not significiant (P=0.198) (table 1, 2). 16% of the patients had APACHE ll SCORE more than 30 with magnesium levels less than 1.8mg/dl and remaining 84% APACHE ll SCORE was less than 30. 2% of patients with magnesium levels more than 1.8mg/dl APACHE ll SCORE was more than 30 and remaining 98% less than 30(P=0.037). CONCLUSION Hypomagnesemia is a common electrolyte imbalance in the critically ill patients and is associated with higher mortality rate, more frequent and more prolonged ventilator support. So early diagnosis and treatment of hypomagnesemia is necessary.
Authors and Affiliations
Dhwaleswarapu Markendeyulu, NadigotlaVikram Ali Benhar
Keywords
Related Articles
- EP ID EP610223
- DOI 10.18410/jebmh/2019/97
- Views 53
- Downloads 0
MR ANGIOGRAPHY IN PERSISTENT HYPOGLOSSAL ARTERY WITH ABSENT BILATERAL VERTEBRAL ARTERIES: A RARE ANOMALY
Persistent hypoglossal artery (PHA) which is a persistent carotid-basilar anastomosis is a rare vascular anomaly. It is usually found incidentally. We present a case of persistent left hypoglossal artery associated with...
A STUDY ON THE INFLUENCE OF SINUSITIS IN A CASE OF PERSISTENT CHRONIC SUPPURATIVE OTITIS MEDIA OF TUBOTYMPANIC TYPE
BACKGROUND Chronic Suppurative Otitis Media (CSOM) is the chronic inflammation of the middle ear cleft mucosa, which is characterised by irreversible changes in it with a history of ear discharge for more than 3 months t...
CLINICAL PROFILE OF PATIENTS WITH ALCOHOLIC LIVER DISEASE IN UPPER ASSAM OF NORTH EAST INDIA
BACKGROUND Alcohol is the most commonly abused drug worldwide causing liver injury with respect to dose, duration, type of alcohol consumption and drinking patterns and gender with diverse ethnicity and social customs. T...
A STUDY OF SHORT AND LONG TERM MORBIDITIES FOLLOWING CAESAREAN SECTION
BACKGROUND During the past few decades, the worldwide incidence of Caesarean births has increased markedly. The current range is around 40% of all deliveries. A study of long and short term morbidities following caesarea...
EFFECTIVENESS OF CT IN DIAGNOSIS OF PROPTOSIS
BACKGROUND Orbit is a pyramidal shaped anatomical space bound by orbital bones whose apex is continued posteriorly as the optic canal and rectangular base opens into the face. Though a series of canal, fissures and foram...