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Estimation of Ionized Calcium Concentration in Critically Ill Patients | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 15, Issue 2, 2016, Pages 247-250 PDF (305.12 K) | ||
| Authors | ||
| Ali Sh. Saadoon; Faez A. Mahdi; Samad M. Ahmad | ||
| Abstract | ||
| BACKGROUND: Hypocalcaemia is a commonly encountered problem in critically ill patients, and it has been shown to correlate with increased ICU stay and mortality. OBJECTIVE: This study is to estimate serum ionized calcium level and to evaluate whether calcium adjusted for albumin accurately predicts ionized calcium concentrations. PATIENT AND METHOD: Cross sectional study conducted to 47 randomly selected adult patients admitted in Baghdad teaching hospital/ ICU from June 2014-october 2014. Ionized Ca level was determined using ionspecific electrode methodology, on heparinised plasma. The total Ca concentration was adjusted for serum Albumin. RESULTS: From total 47 patients, 40 patients were showed low serum calcium level (mean 6.79 mg/dl), and 82 were showed low corrected s.calcium (mean 7.77 mg/dl). Low serum albumin was independently associated with hypocalcaemia on admission. 30 patients (63.83%) reported low total S. alb. mean s. albumin where 2.8mmol. | ||
| Keywords | ||
| Ionized calcium; serum albumin; albumin corrected ratio; hypocalcaemia; hypoalbuminaemia. | ||
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