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Influence of hypocalcemia on the prognosis of patients with multiple trauma
Jia Wang1, Dong-Feng Li2, Zhen-Kang Sun2
1Intensive Care Unit, Fuyang People's Hospital, Fuyang 236000, Anhui Province, China. wangjiafyiii@163.com.
Insights
Hypocalcemia, a common condition in trauma patients, significantly impacts their prognosis. Monitoring serum calcium levels can help predict outcomes for individuals with multiple injuries.
Area of Science:
- Critical Care Medicine
- Trauma Surgery
- Clinical Biochemistry
Background:
- Hypocalcemia is prevalent in hospitalized patients, particularly those with trauma.
- Abnormal calcium metabolism presents a significant clinical challenge, often overlooked, with potential for severe neurological and cardiovascular complications.
Purpose of the Study:
- To retrospectively investigate the prognostic implications of hypocalcemia in patients sustaining multiple traumas.
Main Methods:
- A retrospective analysis of 99 multiple trauma patients treated between January 2020 and December 2021.
- Patients were categorized into normocalcemia (n=81) and hypocalcemia (n=18) groups based on serum calcium levels.
- Key indicators including demographics, serum calcium, hematocrit, and 28-day prognosis were analyzed.
Main Results:
- A significant association was identified between serum calcium levels and the prognosis of polytrauma patients.
Conclusions:
- Serum calcium levels offer a valuable tool for the preliminary evaluation of prognosis in patients with multiple traumas.
Background:
Hypocalcemia is highly common in hospitalized patients, especially in those with trauma, On the other hand, abnormal calcium metabolism is an important metabolic challenge; however, it is often neglected and untreated, and certain factors may induce serious neurological and cardiovascular complications.
Aim:
To retrospectively analyze the impact of hypocalcemia on the prognosis of patients with multiple traumas.
Methods:
The study was conducted from January 2020 to December 2021. Ninety-nine patients with multiple injuries were treated at the critical care medicine department of Fuyang People's Hospital. The selected indicators included sex, age, and blood calcium and hematocrit levels. Many indicators were observed, including within 24 h of hospitalization, and the prognosis was collected after 28 d. Based on the blood calcium levels, the patients were divided into the following two groups: Normocalcemia and hypocalcemia. Of the 99 patients included, 81 had normocalcemia, and 18 had hypocalcemia. Separate experiments were conducted for these two groups.
Results:
There was an association between serum calcium levels and the prognosis of patients with polytrauma.
Conclusion:
Clinically, the prognosis of patients with multiple traumas can be preliminarily evaluated based on serum calcium levels.
