Ravi Patel, Sagar khandare


Hypomagnesemia is so common in critically ill patients, is frequently frequently under diagnosed in clinical practice. It is
a critical ion essential for life , serving as a cofactor for more than 300 enzymatic reactions, with involvement in the
formation of ATP. It has been estimated that 20 to 65 % patients with critical illnesses admitted to medical Intensive Care units (ICU) develop
hypomagnesemia, thus emphasising importance of its detection and correlation with sepsis . This was a prospective observational study. A total of
50 critically ill patients who were admitted to the Intensive Care units(ICU) under the department of general medicine Hamidia hospital Bhopal
and who fullled inclusion and exclusion criteria were studied. Serum magnesium levels along with other investigations were done within rst 24
hours of admission. It was found in the study that 30 out of 50 such patients (i.e.60%) had hypomagnesemia, 15 out of 50 patients(i.e. 30%) had
normomagnesemia and 5 out of 50 patients (i.e. 10%) had hypermagnesemia. The patients with hypomagnesemia compared with
normomagnesemia, had a higher sepsis rate (43. 33% vs 33.33% ). Thus, Hypomagnesemia was seen to be associated with a higher sepsis rate in
critically ill patients admitted in medical ICU, compared to patients with normal magnesium levels.


ICU, hypomagnesemia, ATP, mortality.

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