Cargando…

Hospital-Acquired Serum Ionized Calcium Derangements and Their Associations with In-Hospital Mortality

Background: The objective of this study was to report the incidence of in-hospital serum ionized calcium derangement and its impact on mortality. Methods: We included 12,599 non-dialytic adult patients hospitalized at a tertiary medical center from January 2009 to December 2013 with normal serum ion...

Descripción completa

Detalles Bibliográficos
Autores principales: Thongprayoon, Charat, Hansrivijit, Panupong, Petnak, Tananchai, Mao, Michael A., Bathini, Tarun, Vallabhajosyula, Saraschandra, Lertjitbanjong, Ploypin, Qureshi, Fawad, Erickson, Stephen B., Cheungpasitporn, Wisit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699179/
https://www.ncbi.nlm.nih.gov/pubmed/33227914
http://dx.doi.org/10.3390/medicines7110070
_version_ 1783615989655535616
author Thongprayoon, Charat
Hansrivijit, Panupong
Petnak, Tananchai
Mao, Michael A.
Bathini, Tarun
Vallabhajosyula, Saraschandra
Lertjitbanjong, Ploypin
Qureshi, Fawad
Erickson, Stephen B.
Cheungpasitporn, Wisit
author_facet Thongprayoon, Charat
Hansrivijit, Panupong
Petnak, Tananchai
Mao, Michael A.
Bathini, Tarun
Vallabhajosyula, Saraschandra
Lertjitbanjong, Ploypin
Qureshi, Fawad
Erickson, Stephen B.
Cheungpasitporn, Wisit
author_sort Thongprayoon, Charat
collection PubMed
description Background: The objective of this study was to report the incidence of in-hospital serum ionized calcium derangement and its impact on mortality. Methods: We included 12,599 non-dialytic adult patients hospitalized at a tertiary medical center from January 2009 to December 2013 with normal serum ionized calcium at admission and at least 2 in-hospital serum ionized calcium values. Using serum ionized calcium of 4.60–5.40 mg/dL as the normal reference range, in-hospital serum ionized calcium levels were categorized based on the presence of hypocalcemia and hypercalcemia in hospital. We performed logistic regression to assess the relationship of in-hospital serum ionized calcium derangement with mortality. Results: Fifty-four percent of patients developed new serum ionized calcium derangements: 42% had in-hospital hypocalcemia only, 4% had in-hospital hypercalcemia only, and 8% had both in-hospital hypocalcemia and hypercalcemia. In-hospital hypocalcemia only (OR 1.28; 95% CI 1.01–1.64), in-hospital hypercalcemia only (OR 1.64; 95% CI 1.02–2.68), and both in-hospital hypocalcemia and hypercalcemia (OR 1.73; 95% CI 1.14–2.62) were all significantly associated with increased in-hospital mortality, compared with persistently normal serum ionized calcium levels. Conclusions: In-hospital serum ionized calcium derangements affect more than half of hospitalized patients and are associated with increased in-hospital mortality.
format Online
Article
Text
id pubmed-7699179
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-76991792020-11-29 Hospital-Acquired Serum Ionized Calcium Derangements and Their Associations with In-Hospital Mortality Thongprayoon, Charat Hansrivijit, Panupong Petnak, Tananchai Mao, Michael A. Bathini, Tarun Vallabhajosyula, Saraschandra Lertjitbanjong, Ploypin Qureshi, Fawad Erickson, Stephen B. Cheungpasitporn, Wisit Medicines (Basel) Article Background: The objective of this study was to report the incidence of in-hospital serum ionized calcium derangement and its impact on mortality. Methods: We included 12,599 non-dialytic adult patients hospitalized at a tertiary medical center from January 2009 to December 2013 with normal serum ionized calcium at admission and at least 2 in-hospital serum ionized calcium values. Using serum ionized calcium of 4.60–5.40 mg/dL as the normal reference range, in-hospital serum ionized calcium levels were categorized based on the presence of hypocalcemia and hypercalcemia in hospital. We performed logistic regression to assess the relationship of in-hospital serum ionized calcium derangement with mortality. Results: Fifty-four percent of patients developed new serum ionized calcium derangements: 42% had in-hospital hypocalcemia only, 4% had in-hospital hypercalcemia only, and 8% had both in-hospital hypocalcemia and hypercalcemia. In-hospital hypocalcemia only (OR 1.28; 95% CI 1.01–1.64), in-hospital hypercalcemia only (OR 1.64; 95% CI 1.02–2.68), and both in-hospital hypocalcemia and hypercalcemia (OR 1.73; 95% CI 1.14–2.62) were all significantly associated with increased in-hospital mortality, compared with persistently normal serum ionized calcium levels. Conclusions: In-hospital serum ionized calcium derangements affect more than half of hospitalized patients and are associated with increased in-hospital mortality. MDPI 2020-11-19 /pmc/articles/PMC7699179/ /pubmed/33227914 http://dx.doi.org/10.3390/medicines7110070 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Thongprayoon, Charat
Hansrivijit, Panupong
Petnak, Tananchai
Mao, Michael A.
Bathini, Tarun
Vallabhajosyula, Saraschandra
Lertjitbanjong, Ploypin
Qureshi, Fawad
Erickson, Stephen B.
Cheungpasitporn, Wisit
Hospital-Acquired Serum Ionized Calcium Derangements and Their Associations with In-Hospital Mortality
title Hospital-Acquired Serum Ionized Calcium Derangements and Their Associations with In-Hospital Mortality
title_full Hospital-Acquired Serum Ionized Calcium Derangements and Their Associations with In-Hospital Mortality
title_fullStr Hospital-Acquired Serum Ionized Calcium Derangements and Their Associations with In-Hospital Mortality
title_full_unstemmed Hospital-Acquired Serum Ionized Calcium Derangements and Their Associations with In-Hospital Mortality
title_short Hospital-Acquired Serum Ionized Calcium Derangements and Their Associations with In-Hospital Mortality
title_sort hospital-acquired serum ionized calcium derangements and their associations with in-hospital mortality
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699179/
https://www.ncbi.nlm.nih.gov/pubmed/33227914
http://dx.doi.org/10.3390/medicines7110070
work_keys_str_mv AT thongprayooncharat hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT hansrivijitpanupong hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT petnaktananchai hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT maomichaela hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT bathinitarun hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT vallabhajosyulasaraschandra hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT lertjitbanjongploypin hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT qureshifawad hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT ericksonstephenb hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality
AT cheungpasitpornwisit hospitalacquiredserumionizedcalciumderangementsandtheirassociationswithinhospitalmortality