Admission hypomagnesemia has been linked with an increased risk of septic shock. The purpose of this study was to evaluate admission serummagnesium levels in patients with septic shock and to determine its correlation with the outcomes.
In this study hypomagnesemia was prevalent in 18%, normomagnesemia in 62% and hypermagnesemia in 20% of total included patients. The mean vasopressor free days in Hypomagnesemia group (7.11�.79 days) were higher than those in normomagnesemic patients (5.06�51 days) and hypermagnesemia patients (1.70�09 days). Out of total 50 patients 18 died and 32 recovered. 11 patients out of 32 who recovered had abnormal admission serummagnesium levels whereas 8 pts out of 18 who died had abnormal admission serummagnesium levels. SOFA score in hypomagnesemic patients admitted with septic shock compared with those of normomagnesemic and hypermagnesemic patients was statistically significant.
Conclusions:
Author did not find any statistically significant correlation between admission magnesium levels in septic shockpatients and outcomes although SOFA score was higher in hypomagnesemic patients admitted with septic shock compared with those of normomagnesemic and hypermagnesemic patients. Serummagnesium may not truly reflect body抯 magnesium status. RBC magnesium may need to be studied to see whether it is a more reliable biomarker.