کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5885248 1567681 2015 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Magnesium status and magnesium therapy in critically ill patients: A systematic review
ترجمه فارسی عنوان
وضعیت منیزیم و درمان منیزیم در بیماران مبتلا به بحرانی: بررسی سیستماتیک
کلمات کلیدی
منیزیم، مراقبت شدید، درمان منیزیم، آریتمی، اختلال الکترولیتی، بیماری بحرانی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

PurposeMagnesium is frequently measured and administered in general intensive care unit patients. However, magnesium status, its association with outcomes, and therapeutic utility in such patients are unclear. We performed a systematic review of the relevant literature to define current knowledge in this field.Materials and MethodsWe searched MEDLINE, CENTRAL, and EMBASE from 1975 to July 2014 for adult English language articles excluding obstetric, non-intensive care unit based, and specific population (poisoning, cardiothoracic, and neurosurgery) studies. We identified articles on magnesium measurement, associations, and therapy. We calculated pooled effect estimates from reported adjusted risk estimates.ResultsWe identified 34 relevant studies. Total serum total magnesium was the most commonly measure of magnesium status. Risk of mortality was significantly increased with hypomagnesemia (odds ratio, 1.85; 95% confidence interval, 1.31-2.60). No consistent associations existed between magnesemia or magnesium administration and any other outcomes.ConclusionsTotal serum magnesium levels are generally used to estimate magnesium status in critical illness. Hypomagnesemia appears associated with greater risk of mortality, but the efficacy of magnesium administration is open to challenge.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Critical Care - Volume 30, Issue 6, December 2015, Pages 1349-1358
نویسندگان
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