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posted on 2024-12-01, 15:33 authored by Doaa ElzaeemDoaa Elzaeem

consequences. A lack of magnesium is strongly linked to a higher likelihood of mortality.

Objectives: In this research, We aim to evaluate whether or not serum magnesium levels were correlated with

prognosis and outcome in child patients hospitalized to the pediatric intensive care unit (PICU).

Methods: A prospective observational research in a single-center tertiary institution included 80 pediatric patients

among the ages of one month and twelve years admitted to the PICU during the period from October 2019 to May

2020. The serum Mg level was assessed in all patients.

Findings: 45 (56.25%) patients had hypomagnesemia with Mean ± SD of1.1±0.1. The majority of admitted

children had respiratory diseases. In 56.25% of the patients with hypomagnesemia, there was a statistically

significant lower Mg level in relation to a higher PRISM score and a lower age group. Hypomagnesemia is

significantly present in patients with sepsis and gastroenteritis. There was a positive association among K, Ca,

albumin & Mg. Lower levels of Mg were present in children who needed inotropic drugs and a longer duration of

mechanical ventilation. The outcome of the 80 children revealed the deaths of 27 patients in the hypomagnesemia

group.

Conclusions: Low serum levels of Mg in critically ill children were more commonly seen in cases with sepsis

and gastroenteritis and were related to a bad prognosis and a high mortality rate. Serum Mg levels need to be

closely monitored and corrected, as they could have prognostic and therapeutic implications.

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