Incidence and Risk Factors of Hypomagnesemia in Patients of Surgical Intensive Care Unit of Taibh University Madinah Hospitals

Main Article Content

Maher Abd Elhamed Sherif
Abdelbadee Ameen
Mahmoud Mohammed Alsagheir Ahmed Soliman
Ayman Said Abdelaziz kandil
Yara Ayman Iskandarani
Adol Eskandarani
Ibrahim Elalfy
Reda Khalil

Keywords

Hypomagnesemia, Surgical Intensive Care Unit

Abstract

Background: Magnesium is the 4th most common cation in the human body and the second most common cation inside of cells. In the ICU, patients often have low magnesium levels, a condition known as hypomagnesemia. Magnesium deficiency is common in critically ill patients due to gastrointestinal and/or renal disorders, which can lead to severe neuromuscular and cardiovascular clinical symptoms due to subsequent hypokalemia and hypocalcemia.
Aim: to identify patients at risk for hypomagnesemia in the surgical intensive care unit at Taibh University Madinah Hospitals.
Patients and Methods: Research was done on 130 people at the University of Taibh University Madinah Hospitals. Over the course of 6 months, we monitored everyone at the Intensive Care Unit of Taibh University Madinah Hospitals. Humans > 18 years.
Results: There were significant correlation between Magnesium (mmol/l) and Age and Sex and Medical condition, between Magnesium (mmol/l) and Age and Sex and Residence and between Magnesium (mmol/l) and Age and Sex and Residence.
Conclusion: Magnesium disorders are widespread in those who are seriously unwell. We found that severely ill individuals typically have lower serum concentrations of calcium, magnesium, and phosphate. magnesium is significantly correlated to Age, Sex and Medical condition.

Abstract 282 | pdf Downloads 256

References

1. Chowdhury, M., & Ponieman, B. (2022).Hypomagnesemia In Patients OF Critical Care And Alcohol Withdrawal Syndrome: A Review.
European Psychiatry, 65(S1), S467-S467.
2. Hansen, B. A., & Bruserud, Ø. (2018). Hypomagnesemia in critically ill patients. Journal of intensive care, 6(1), 1-11.
3. Al Alawi, A. M., Majoni, S. W., & Falhammar, H. (2018). Magnesium and human health: perspectives and research directions.
International journal of endocrinology, 2018.
4. Liamis, G., Hoorn, E. J., Florentin, M., & Milionis, H. (2021). An overview of diagnosis and management of drug‐induced hypomagnesemia. Pharmacology Research & Perspectives, 9(4), e00829.
5. Pannem, R. B., & Munamala, C. S. R. (2018). An observational study on effects of hypomagnesemia among critically ill patients at a
tertiary care hospital.
6. Reinhart, R. A., & Desbiens, N. A. (1985).Hypomagnesemia in patients entering the ICU. Critical care medicine, 13(6), 506-507.
7. Dwivedi, A., Simalti, A. K., Goswami, J. N., Kalra, S., & Negi, V. (2021). Case series: Three cases emphasizing importance of genetics in
PICU. Journal of Pediatric Critical Care, 8(3), 153.
8. Raza, M., Kumar, S., Ejaz, M., Azim, D., Azizullah, S., & Hussain, A. (2020). Electrolyte imbalance in children with severe acute
malnutrition at a tertiary care hospital in Pakistan: a cross-sectional study. Cureus, 12(9).
9. Farrukh, R. I. F. F. A. T., Masood, S. H. A. H. E. E. N., Shakoor, I., Naseer, A. M. B. E. R., Sultana, S. A. R. W. A. T., & Nasir, F. (2021).
Outcome and Incidence of Hypomagnesemia in Children Admitted in Pediatric Intensive Care Unit of a Tertiary Care Hospital. Pakistan Journal of Medical and Health Sciences, 15(5), 1169-1173.
10. Kagima, J. W. (2013). Hypomagnesemia in critically ill patients on admission to the critical care units at the Kenyatta National Hospital: a prospective observational cohort study (Doctoral dissertation, University of Nairobi).
11. Limaye, C. S., Londhey, V. A., Nadkart, M. Y., & Borges, N. E. (2011). Hypomagnesemia in critically ill medical patients. The Journal of the Association of Physicians of India, 59, 19-22.
12. Pranskunas, A., Vellinga, N. A., Pilvinis, V., Koopmans, M., & Boerma, E. C. (2011).Microcirculatory changes during open label
magnesium sulphate infusion in patients with severe sepsis and septic shock. BMC anesthesiology, 11(1), 1-6.
13. Saleem, A. F., & Haque, A. (2009). On admission hypomagnesemia in critically ill children: Risk factors and outcome. The Indian Journal of Pediatrics, 76, 1227-1230.
14. Bhardwaj, B., Desai, A. D., Patel, B. M., Parekh, C. D., & Patel, S. M. (2017). Prevalence of hypomagnesemia in patients undergoing
gynecological oncology surgery in tertiary care cancer institute of India. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 6(10), 4356.
15. Abouamer, A. A., Soliman, D. R., Shaban, H. M., & Anter, N. M. (2020). Calcium, Magnesium and phosphate deficiency and their Effect on Clinical outcome in Critically Ill child. Benha Journal of Applied Sciences, 5(2 part (2)), 317-322.
16. El Hossary, Z. I., Saad Eldin, S. M., Matar, H. H., & Askar, I. A. H. (2021). Risk Factors of Hypocalcemic Patients at Surgical Intensive Care Unit of Zagazig University Hospitals. The Egyptian Journal of Hospital Medicine, 85(2), 3753-3757.
17. Laupland, K. B., Tabah, A., Jacobs, N., & Ramanan, M. (2020). Determinants of serum magnesium abnormalities and outcome among
admissions to the intensive care unit. Anaesthesia Critical Care & Pain Medicine, 39(6), 793-797.
18. Peres, I. T., Hamacher, S., Oliveira, F. L. C., Thomé, A. M. T., & Bozza, F. A. (2020). What factors predict length of stay in the intensive care unit? Systematic review and meta-analysis. Journal of Critical Care, 60, 183-194.
19. Sadeghi-Bojd, S., Noori, N., Zarifi, E., & Teimouri, A. (2021). Prevalence of Hypomagnesaemia in Children Admitted to the
Pediatric Intensive Care Unit and its Related Factors in Zahedan, Iran. International Journal of Pediatrics, 9(5), 13539-13549.
20. Kim, J. Y., Lee, H. J., Lee, H. Y., Lee, S. M., Lee, J., & Park, T. Y. (2022). The effects of hypomagnesemia on delirium in middle-aged and
older adult patients admitted to medical intensive care units. Acute and Critical Care, 37(3), 407-414.