Prevalence of Hypomagnesaemia in children admitted to the PICU and Its Related Factors

Document Type: original article

Authors

1 Children and Adolescent Health Research Center, Zahedan University of Medical Sciences

2 Children & Adolescent Health Research Center, Resistant Tuberculosis Institute , School of Medicine, Zahedan Univ Med Sci, Zahedan 9816743111, Iran

3 Children and Adolescents Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

4 Medical student, School of Medicine, Beheshti University of Medical Sciences, Tehran, Iran

10.22038/ijp.2020.49643.3969

Abstract

Introduction
Clinical status of children admitted to intensive care units (ICUs) is important. The aim of the study was to investigate the prevalence of hypomagnesaemia in children admitted to the PICU and its relation factors

Methods
This cross-sectional study conducted in Ali Ebne Abitalib Hospital, of Zahedan University of Medical Sciences, Iran, within the year of 2018. From children who admitted to the PICU, 150 Children aged 1 month and 12 years included the study after considering exclusion and ethical criteria. Data were entered into SPSS 18.0. p-value 0.05 was considered as statistically significant.

Results
From admitted children to the PICU, 44.7% were hypomagnesaemia with a longer hospital stay, higher levels of Na, K and Ca but not significant. Same trends occurred after five days’ hospitalization. During the first five days of hospitalization, 58 children died such that most of them were hypomagnesaemia. About 39.6% of 101 children who consumed diuretic medicine were hypomagnesemia. This pattern was 43.8% and 40.00% from 130 and 85 patients who used digital or aminoglycoside medicines. About half children who had heart diseases were hypomagnesemia. These trends were 33.3% in kidney and sepsis; about 50.00% and 43.5% were hypomagnesaemia from those had a central nervous disorder and respiratory respectively. Children with higher age and girls had more odds to be hypomagnesaemia.
Conclusion
In conclusion, hypomagnesaemia is very common in PICU patients. To monitor electrolyte changes in PICU recommended evaluating the serum level of Mg in these patients.

Keywords