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Intensive Care Medicine

, Volume 22, Issue 8, pp 724–727 | Cite as

Serum and erythrocyte magnesium in critically ill patients

  • C. Guérin
  • C. Cousin
  • F. Mignot
  • M. Manchon
  • G. Fournier
Original

Abstract

Objectives

To evaluate the prevalence of serum and erythrocyte magnesium (Mg) abnormalities in patients on admission to the intensive care unit (ICU) and to test the hypothesis that low levels of Mg are associated with a higher mortality.

Design

Prospective study.

Setting

14-bed ICU in a 1000-bed teaching hospital.

Patients

179 consecutive patients admitted over a 4-month period.

Measurements

Total serum Mg (Mgs) and erythrocyte Mg (Mge) were determined on admission by atomic absorption spectrophotometry. Severity of illness was assessed by Acute Physiology and Chronic Health Evaluation (APACHE) II and the number of organ system failures (OSF) during the first 24 h. The patients were followed up until discharge from hospital.

Main results

On admission, 79 patients (44%) were hypomagnesemic and 10 (6%) were hypermagnesemic. A low level of Mge was observed in 119 patients (66%). In patients with similar APACHE II scores and OSF numbers, more of those with hyperMgs died during their ICU stay. However, the Mge value on admission did not correlate with patient outcome.

Conclusions

We confirm the high prevalence of Mgs abnormalities as well as Mg deficiency on admission to a medical ICU. Low levels of Mgs and Mge are not associated with higher fatality. HyperMgs was associated with patient death.

Key words

Intracellular magnesium Magnesium Magnesium deficiency Prognosis in intensive care unit 

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • C. Guérin
    • 3
    • 1
  • C. Cousin
    • 2
  • F. Mignot
    • 1
  • M. Manchon
    • 2
  • G. Fournier
    • 1
  1. 1.Service de Réanimation MédicaleCentre Hospitalier et UniversitaireLyon-SudFrance
  2. 2.Service de Biochimie des UrgencesCentre Hospitalier et UniversitaireLyon-SudFrance
  3. 3.Service de Réanimation MédicaleCentre Hospitalier Lyon-SudPierre BéniteFrance

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