High prevalence of Hypophosphataemia amongst patients with infectious diseases. A retrospective study
Objectives To describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum C‐reactive protein, serum albumin and white blood cells in blood were studied amongst hypophosphataemic patients. Comparisons were made accordi...
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Published in | Journal of internal medicine Vol. 246; no. 1; pp. 45 - 52 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Science Ltd
01.07.1999
Blackwell Science Blackwell Publishing Ltd |
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Abstract | Objectives To describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum C‐reactive protein, serum albumin and white blood cells in blood were studied amongst hypophosphataemic patients. Comparisons were made according to the severity of infection.
Design. A retrospective study of the prevalence of hypophosphataemia, and a case‐control study amongst a subgroup of patients.
Setting The Department of Infectious Diseases, University Hospital, Umeå, Sweden.
Subjects For the prevalence study all 967 patients (449 women and 518 men) treated during 1993 were included. In the case‐control study, 108 cases, with serum phosphate ≤ 0.64 mmol L–1, 216 age‐ and sex‐matched controls with serum phosphate > 0.82 mmol L–1 (men) and > 0.86 mmol L–1 (women), respectively, were included.
Results In 402 of 967 patients (42%) at least one serum phosphate value was below the reference level. Hypophosphataemia was found in 573 of 1966 blood samples (29%). Severe hypophosphataemia (< 0.30 mmol L–1) was seen in 1.2% of the patients (0.9% of blood samples). The prevalence of hypophosphataemia was higher amongst women than amongst men. In the case‐control study, the serum C‐reactive protein and the number of white blood cells was higher amongst the cases compared with the controls (124 vs. 94 mg L–1 and 11.4 vs. 9.3 cells/L × 109, respectively). The multiple logistic regression showed a 4‐fold higher risk of having low serum phosphate in patients with severe infection, compared with mild infections. None of the other variables (albumin, days of hospital stay or white blood cells in blood) increased the risk for hypophosphataemia.
Conclusions The high prevalence of low serum phosphate levels and the increased risk of having low levels in severe infections shown in this study needs further attention. |
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AbstractList | Objectives
To describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum C‐reactive protein, serum albumin and white blood cells in blood were studied amongst hypophosphataemic patients. Comparisons were made according to the severity of infection.
Design.
A retrospective study of the prevalence of hypophosphataemia, and a case‐control study amongst a subgroup of patients.
Setting
The Department of Infectious Diseases, University Hospital, Umeå, Sweden.
Subjects
For the prevalence study all 967 patients (449 women and 518 men) treated during 1993 were included. In the case‐control study, 108 cases, with serum phosphate ≤ 0.64 mmol L
–1
, 216 age‐ and sex‐matched controls with serum phosphate > 0.82 mmol L
–1
(men) and > 0.86 mmol L
–1
(women), respectively, were included.
Results
In 402 of 967 patients (42%) at least one serum phosphate value was below the reference level. Hypophosphataemia was found in 573 of 1966 blood samples (29%). Severe hypophosphataemia (< 0.30 mmol L
–1
) was seen in 1.2% of the patients (0.9% of blood samples). The prevalence of hypophosphataemia was higher amongst women than amongst men. In the case‐control study, the serum C‐reactive protein and the number of white blood cells was higher amongst the cases compared with the controls (124 vs. 94 mg L
–1
and 11.4 vs. 9.3 cells/L × 10
9
, respectively). The multiple logistic regression showed a 4‐fold higher risk of having low serum phosphate in patients with severe infection, compared with mild infections. None of the other variables (albumin, days of hospital stay or white blood cells in blood) increased the risk for hypophosphataemia.
Conclusions
The high prevalence of low serum phosphate levels and the increased risk of having low levels in severe infections shown in this study needs further attention. Objectives To describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum C‐reactive protein, serum albumin and white blood cells in blood were studied amongst hypophosphataemic patients. Comparisons were made according to the severity of infection. Design. A retrospective study of the prevalence of hypophosphataemia, and a case‐control study amongst a subgroup of patients. Setting The Department of Infectious Diseases, University Hospital, Umeå, Sweden. Subjects For the prevalence study all 967 patients (449 women and 518 men) treated during 1993 were included. In the case‐control study, 108 cases, with serum phosphate ≤ 0.64 mmol L–1, 216 age‐ and sex‐matched controls with serum phosphate > 0.82 mmol L–1 (men) and > 0.86 mmol L–1 (women), respectively, were included. Results In 402 of 967 patients (42%) at least one serum phosphate value was below the reference level. Hypophosphataemia was found in 573 of 1966 blood samples (29%). Severe hypophosphataemia (< 0.30 mmol L–1) was seen in 1.2% of the patients (0.9% of blood samples). The prevalence of hypophosphataemia was higher amongst women than amongst men. In the case‐control study, the serum C‐reactive protein and the number of white blood cells was higher amongst the cases compared with the controls (124 vs. 94 mg L–1 and 11.4 vs. 9.3 cells/L × 109, respectively). The multiple logistic regression showed a 4‐fold higher risk of having low serum phosphate in patients with severe infection, compared with mild infections. None of the other variables (albumin, days of hospital stay or white blood cells in blood) increased the risk for hypophosphataemia. Conclusions The high prevalence of low serum phosphate levels and the increased risk of having low levels in severe infections shown in this study needs further attention. To describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum C-reactive protein, serum albumin and white blood cells in blood were studied amongst hypophosphataemic patients. Comparisons were made according to the severity of infection. A retrospective study of the prevalence of hypophosphataemia, and a case-control study amongst a subgroup of patients. The Department of Infectious Diseases, University Hospital, Umeå, Sweden. For the prevalence study all 967 patients (449 women and 518 men) treated during 1993 were included. In the case-control study, 108 cases, with serum phosphate < or =0.64 mmol L(-1), 216 age-and sex-matched controls with serum phosphate >0.82 mmol L(-1) (men) and >0.86 mmol L(-1) (women), respectively, were included. In 402 of 967 patients (42%) at least one serum phosphate value was below the reference level. Hypophosphataemia was found in 573 of 1966 blood samples (29%). Severe hypophosphataemia (<0.30 mmol L(-1)) was seen in 1.2% of the patients (0.9% of blood samples). The prevalence of hypophosphataemia was higher amongst women than amongst men. In the case-control study, the serum C-reactive protein and the number of white blood cells was higher amongst the cases compared with the controls (124 vs. 94 mg L(-1) and 11.4 vs. 9.3 cells/L x10(9), respectively). The multiple logistic regression showed a 4-fold higher risk of having low serum phosphate in patients with severe infection, compared with mild infections. None of the other variables (albumin, days of hospital stay or white blood cells in blood) increased the risk for hypophosphataemia. The high prevalence of low serum phosphate levels and the increased risk of having low levels in severe infections shown in this study needs further attention. OBJECTIVESTo describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum C-reactive protein, serum albumin and white blood cells in blood were studied amongst hypophosphataemic patients. Comparisons were made according to the severity of infection. DESIGNA retrospective study of the prevalence of hypophosphataemia, and a case-control study amongst a subgroup of patients. SETTINGThe Department of Infectious Diseases, University Hospital, Umeå, Sweden. SUBJECTSFor the prevalence study all 967 patients (449 women and 518 men) treated during 1993 were included. In the case-control study, 108 cases, with serum phosphate < or =0.64 mmol L(-1), 216 age-and sex-matched controls with serum phosphate >0.82 mmol L(-1) (men) and >0.86 mmol L(-1) (women), respectively, were included. RESULTSIn 402 of 967 patients (42%) at least one serum phosphate value was below the reference level. Hypophosphataemia was found in 573 of 1966 blood samples (29%). Severe hypophosphataemia (<0.30 mmol L(-1)) was seen in 1.2% of the patients (0.9% of blood samples). The prevalence of hypophosphataemia was higher amongst women than amongst men. In the case-control study, the serum C-reactive protein and the number of white blood cells was higher amongst the cases compared with the controls (124 vs. 94 mg L(-1) and 11.4 vs. 9.3 cells/L x10(9), respectively). The multiple logistic regression showed a 4-fold higher risk of having low serum phosphate in patients with severe infection, compared with mild infections. None of the other variables (albumin, days of hospital stay or white blood cells in blood) increased the risk for hypophosphataemia. CONCLUSIONSThe high prevalence of low serum phosphate levels and the increased risk of having low levels in severe infections shown in this study needs further attention. |
Author | Håglin, L. Nilsson, M. Burman, L. ‐A. |
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Keywords | Human Infection Metabolic disorder Hydroelectrolytic balance disorder Concomitant disease Prevalence Critically ill Hypophosphatemia Inorganic element |
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Snippet | Objectives To describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum... To describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum C-reactive... Objectives To describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum... OBJECTIVESTo describe the prevalence of hypophosphataemia amongst all patients treated during 1993 for infectious diseases. The associations between serum... |
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SubjectTerms | Adolescent Adult Age Distribution Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences C-Reactive Protein - metabolism Case-Control Studies Child Child, Preschool Emergency and intensive care: infection, septic shock Female Humans hypophosphataemia Hypophosphatemia - blood Hypophosphatemia - epidemiology Hypophosphatemia - microbiology Infant infection Infection - blood Infection - complications Intensive care medicine Leukocyte Count Logistic Models Male Medical sciences Middle Aged Prevalence Retrospective Studies Serum Albumin - metabolism serum C‐reactive protein Sex Distribution Sweden - epidemiology |
Title | High prevalence of Hypophosphataemia amongst patients with infectious diseases. A retrospective study |
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