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Type: Artigo de periódico
Title: Hypophosphatemia, Hypomagnesemia, And Hypokalemia In Pediatric Patients Before And During Exclusive Individualized Parenteral Nutrition.
Author: Hortencio, Taís Daiene Russo
Nogueira, Roberto José Negrao
de Lima Marson, Fernando Augusto
Ribeiro, Antonio Fernando
Abstract: Hypophosphatemia, hypomagnesemia, and hypokalemia occur in patients receiving parenteral nutrition (PN), mainly when the body's stores are depleted due to fasting or inflammation. Although these disorders are potentially fatal, few studies have reported the incidence in the pediatric population. This study evaluated, in a historical cohort of pediatric patients, the prevalence of hypophosphatemia, hypokalemia, and hypomagnesaemia until 48 hours before initiation of PN infusion (P1) and from days 1-4 (P2) and days 5-7 (P3) of PN infusion and investigated if malnutrition, calories, and protein infusion were correlated to these disorders. Malnutrition was present in 32.8% (n = 119) of the subjects; 66.4% of the patients were in the pediatric intensive care unit. Survival rate was 86.6%. P1 had the highest prevalence of mineral disorders, with 54 events (58.1%; P2, n = 35, 37.6%; P3, n = 4, 4.3%). Hypokalemia events were related to malnutrition (odds ratio, 2.79; 95% confidence interval, 1.09-7.14; P = .045). In the first 7 days, infused calories were below the amount recommended by current guidelines in up to 84.9% of patients, and protein infused was adequate in up to 75.7%. Protein infused above the recommendation in the first 4 days was related to hypomagnesaemia (odds ratio, 5.66; 95% confidence interval, 1.24-25.79; P = .033). Hypophosphatemia, hypokalemia, and hypomagnesemia were frequent in hospitalized pediatric patients before and during the first 4 days of PN infusion. Patients with malnutrition had more chances of having hypokalemia, and those who received high protein infusion had an increased chance of developing hypomagnesemia.
Subject: Hypokalemia
Parenteral Nutrition
Refeeding Syndrome
Citation: Nutrition In Clinical Practice : Official Publication Of The American Society For Parenteral And Enteral Nutrition. v. 31, n. 2, 2016-Feb.
Rights: embargo
Identifier DOI: 10.1177/0884533615627266
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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