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Hypophosphatemia in children hospitalized within an intensive care unit

Fernanda Souza de Menezes1, Heitor Pons Leite, Juliana Fernandez

  • 1Pediatric Intensive Care Unit, Hospital São Paulo, São Paulo, Brazil.

Journal of Intensive Care Medicine
|July 21, 2006
PubMed

Insights

Hypophosphatemia, a low phosphate level, is common in critically ill children. This study found it occurred in 76% of pediatric intensive care unit patients and was linked to malnutrition.

Area of Science:

  • Pediatric Intensive Care
  • Critical Care Medicine
  • Pediatric Nephrology

Background:

  • Hypophosphatemia is a common electrolyte disturbance in critically ill patients.
  • Identifying risk factors and outcomes is crucial for managing this condition in pediatric intensive care units (PICUs).

Purpose of the Study:

  • To determine the prevalence of hypophosphatemia in children admitted to a PICU.
  • To identify potential risk factors and outcome measures associated with hypophosphatemia in this population.

Main Methods:

  • Retrospective analysis of data from 42 children admitted to a single PICU over one year.
  • Serum phosphorus levels measured on day 3 of admission; hypophosphatemia defined as <3.8 mg/dL.

Main Results:

  • Hypophosphatemia was detected in 32 children (76%).
  • A significant association was found between hypophosphatemia and malnutrition (P = .04).
  • No significant associations were found between hypophosphatemia and mortality, PICU length of stay, or mechanical ventilation duration.

Conclusions:

  • Hypophosphatemia is a frequent finding in critically ill children within the PICU setting.
  • Malnutrition is a significant associated factor for hypophosphatemia in this patient group.

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