Comparative study between total parenteral nutrition (TPN) and no nutritional support in perioperative bariatric surgery

Martinez, M.; Martínez, Mónica García; Morales, María José; Parada, P.; Otero, Iago; Maruri, Ignacio; Martínez, Natalia Panadero; Casal, E.

doi:10.1016/s0261-5614(03)80069-9

Cited by 1 publication

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“…It may be explained by the occurrence of respiratory alkalosis, insulin, and diuretic use. 24 , 25 In critically ill patients it could be explained by the redistribution of Pi between body compartments, in addition to, decreased intestinal absorption, and increased renal loss, especially with renal replacement therapy. 26 Also, a higher incidence is observed in patients with DKA, sepsis, and postoperative period, as high as 34% of cardiac surgeries, 25 and nearly in all patients after major hepatic surgeries.…”

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confidence: 99%

Frequency and Risk Factors of Hypophosphatemia in Patients Admitted to Emergency Intensive Care Unit in Zagazig University Hospitals

Bsar¹,

El-Wakiel²,

El-Harrisi³

et al. 2023

Indian Journal of Critical Care Medicine

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A bstract Background Inorganic phosphate is a major electrolyte that participates in many functional and integral processes in the human body. Low Pi levels may lead to multiple organ dysfunction. It is estimated to occur in 40–80% of intensive care unit (ICU) patients. However, it may be ignored during the initial evaluation in ICU. Materials and methods This prospective cross-sectional study included 500 adult ICU cases in two groups; a group with normal Pi levels and a group with hypophosphatemia. All admitted patients were subjected to full history taking, and clinical, laboratory, and radiological evaluation. Collected data were coded, processed, and analyzed using statistical package for social sciences (SPSS) software. Results Among 500 adult ICU patients; 56.8% had normal phosphate levels while the remaining 43.2% had low phosphate levels. Patients in the hypophosphatemia group were associated with a significantly higher Acute Physiological and Chronic Health Evaluation (APACHE II) score, a longer hospital and ICU stay, a higher incidence of mechanical ventilation use with a longer duration on it, and a significantly higher mortality rate. Conclusion Risk factors for hypophosphatemia include a higher APACHE II score, longer stay in the hospital and ICU, a higher ratio of mechanical ventilation, and a higher mortality rate. How to cite this article El-Sayed Bsar AEM, El-Wakiel SAR, El-Harrisi MAH, Elshafei ASH. Frequency and Risk Factors of Hypophosphatemia in Patients Admitted to Emergency Intensive Care Unit in Zagazig University Hospitals. Indian J Crit Care Med 2023;27(4):277–282.

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