Prevalence of Hypomagnesaemia in Children Admitted to the Pediatric Intensive Care Unit and its Related Factors in Zahedan, Iran

Background: Clinical status of children admitted to the intensive care units (ICUs) is important. We aimed to investigate prevalence of hypomagnesaemia in children admitted to the pediatric intensive care unit (PICU), and its relation factors. Materials and Methods: This cross-sectional study was conducted in Ali Ebne Abitalib Hospital Zahedan, Iran, in ۲۰۱۸. From total children who were admitted to the PICU, ۱۵۰ individuals aged one month to ۱۲ years that were entered to the study. Magnesium level was estimated by XYLIDYL BLUE method using Erba kits. Children were divided into two groups based on their serum magnesium concentration defined as normal and abnormal.  Data were analyzed using SPSS software version ۱۸.۰.  Results: From ۱۵۰ admitted children to the PICU, ۴۴.۷% were hypomagnesaemia with longer hospital stay, higher levels of Na, K and Ca (p>۰.۰۵). During the first five day of hospitalization, ۵۸ children died, most of them were hypomagnesaemia. About ۳۹.۶% of ۱۰۱ children who consumed diuretic medicine were hypomagnesemia. This pattern was ۴۳.۸% and ۴۰.۰۰% from ۱۳۰ and ۸۵ patients who used digital or aminoglycoside medicines. About half of the children who had heart diseases were hypomagnesemia. These trends were ۳۳.۳% in kidney and sepsis; about ۵۰.۰۰% and ۴۳.۵% were hypomagnesaemia from those who had central nervous disorder and respiratory problems, respectively. The eldest children had ۱.۷۹ times higher odds (۹۵% CI=۰.۷۶ to ۸.۳۰) to be hypomagnesaemia compared to the youngest, and girls had ۱.۰۱ times higher odds (۹۵% CI=۰.۴۴ to ۲.۳۰) to be hypomagnesaemia. Conclusion: Prevalence of hypomagnesaemia in children admitted to the PICU was high and it was associated with the major electrolytes of sodium, potassium, and calcium.

کلیدواژه ها:

Hypomagnesaemia ، Prevalence ، Factors ، PICU