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Correlation of Serum Magnesium Levels with Clinical Outcome: A Prospective Observational Study in Critically Ill Patients Admitted to a Tertiary Care ICU in India

Vandana Talwar, Vineesha Gonuguntla, Bhavya Krishna, Gautham Srinivasan

2023Indian Journal of Critical Care Medicine11 citationsDOIOpen Access PDF

Abstract

Background: We studied the incidence of magnesium (Mg) disturbances in patients admitted to a multidisciplinary intensive care unit (ICU) and correlated serum magnesium levels with clinical outcomes. Materials and methods: The study was conducted on 280 critically ill patients aged above 18 years and admitted to the ICU. Serum magnesium levels at admission were correlated with mortality, need for and duration of mechanical ventilation, duration of ICU stay, presence of comorbid conditions, and electrolyte disturbances. Result: = 0.001 and 0.005 respectively) were associated with hypermagnesemia. Conclusion: Our study highlights the role of Mg monitoring in critically ill patients admitted to the ICU and its value for a favorable outcome. We found that hypomagnesemia was significantly associated with adverse outcomes and higher mortality in critically ill patients. Intensivists should maintain a high index of suspicion for Mg disturbances and evaluate patients appropriately. How to cite this article: Gonuguntla V, Talwar V, Krishna B, Srinivasan G. Correlation of Serum Magnesium Levels with Clinical Outcome: A Prospective Observational Study in Critically Ill Patients Admitted to a Tertiary Care ICU in India. Indian J Crit Care Med 2023;27(5):342-347.

Topics & Concepts

HypermagnesemiaMedicineHypomagnesemiaMechanical ventilationSOFA scoreIncidence (geometry)Intensive care unitAPACHE IIInternal medicineProspective cohort studyGastroenterologyMagnesiumOpticsMetallurgyPhysicsMaterials scienceMagnesium in Health and DiseasePotassium and Related DisordersSepsis Diagnosis and Treatment