SERUM MAGNESIUM LEVELS IN CRITICALLY ILL PATIENTS

Dr. Shubham Shekhar Singh, Dr. Brig. Rajesh Kakkar, Dr. Rajeev Mohan Kaushik, Dr. Reshma Kaushik, Dr. Sushant Khanduri

Abstract


INTRODUCTION- Magnesium being the fourth most populous cation in the human body, and the second most populous intracellular cation next to potassium; it plays an essential physiological role in many functions of the body.

MATERIAL AND METHOD- A total of 96 critically ill medical patients, presenting to the Himalayan Hospital were recruited in the study. On admission, serum magnesium levels were recorded at entry. All cases were followed until discharge/death, to study correlation between serum magnesium levels and outcome of the patient.

RESULT- 96 patients were enrolled in the study out of which 57.29 % patients were male and 42.7 % patients were female. Hypomagnesemia was observed in 12.5% patients and Hypermagnesemia in14.58 % patients. There was a significant association between hypomagnesemia and duration of ventilatory support, ICU stay and clinical outcome.

CONCLUSION- Hypomagnesemia was significantly associated with duration of ICU stay, clinical outcome (mortality) and duration of ventilator support in critically ill patients. Thus hypomagnesemia is common in the critical care setting and should be looked for as it has an impact on the clinical outcome.


Keywords


Hypomagnesemia, Hypermagnesemia, Apache II score

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References


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