Intravenous calcium replacement for asymptomatic hypocalcemia of critical illness

被引:1
|
作者
Chen, HC
机构
[1] Univ Calif San Francisco, J David Gladstone Inst, San Francisco, CA 94141 USA
[2] San Francisco VA Med Ctr, Div Endocrinol, San Francisco, CA USA
来源
ENDOCRINOLOGIST | 2001年 / 11卷 / 05期
关键词
D O I
10.1097/00019616-200109000-00004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: No studies have been performed to determine if intravenous calcium replacement in critically ill patients with mild, asymptomatic hypocalcemia improves clinical outcome. Methods: Case-control study of patients in the medical surgical intensive care unit of the San Francisco Veterans Affairs Medical Center. Two groups of patients were studied; one group consisting of all 15 patients who received intravenous calcium infusions in May 1999, and a control group consisting of an equal number of patients matched for severity of illness, as determined by Simplified Acute Physiology Score (SAPS II). Length of hospital stay and in-hospital mortality were calculated for each group. Results: The two groups did not differ significantly in baseline characteristics or severity of illness. The two groups also did not differ in mean serum calcium concentrations or degree of hypocalcemia during their hospital course. The calcium replacement group, however, had a longer hospital stay (20.7 vs. 12.4 days, p = 0.02). Conclusions: Intravenous calcium. replacement in mild, asymptomatic hypocalcemia of critical illness does not seem to benefit patients and may be associated with longer hospital stays.
引用
收藏
页码:364 / 367
页数:4
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