Hypophosphatemia in critical pediatrics patients

Authors

  • Aristóteles Conqui Solís Unidad de Cuidados Intensivos, Instituto Nacional de Salud del Niño. Lima, Perú

DOI:

https://doi.org/10.61651/rped.2014v67n4p211-218

Keywords:

Hypophosphatemia, Child, Intensive Care Units, Pediatric, Critical Illness

Abstract

Introduction: Hypophosphatemia is a metabolic disorder commonly found in critical pediatric and adult patients in the intensive care unit (ICU) and there is no a guide for addressing critical patients with hypophosphatemia.

Method: A review of the literature was conducted with the terms hypophosphatemia, critical patient, pediatric and intensive care, including clinical studies, experimental trials and case reports. The search period covered was between January 1980 and December 2013.

Results: High incidence of hypophosphatemia was found in critically ill patients associated with certain causal factors that contributed to the disruption of phosphorus metabolism. Clinical manifestation of hypophosphatemia involves several organs such as heart, respiratory, muscular, etc. Correction of hypophosphatemia was not the same regarding intravenous dose and infusion rate of phosphorus in different studies, and is generally done with symptomatic or severe manifestations.

Conclusions: Given the high prevalence, clinical features, and risk of multiple factors, early recognition of this disorder in critically ill pediatric patients should be performed. Studies should focus on treatment and on the association between hypophosphatemia and morbidity and/or mortality.

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Author Biography

Aristóteles Conqui Solís, Unidad de Cuidados Intensivos, Instituto Nacional de Salud del Niño. Lima, Perú

Introduction: Hypophosphatemia is a metabolic disorder commonly found in critical pediatric and adult patients in the intensive care unit (ICU) and there is no a guide for addressing critical patients with hypophosphatemia.

Method: A review of the literature was conducted with the terms hypophosphatemia, critical patient, pediatric and intensive care, including clinical studies, experimental trials and case reports. The search period covered was between January 1980 and December 2013.

Results: High incidence of hypophosphatemia was found in critically ill patients associated with certain causal factors that contributed to the disruption of phosphorus metabolism. Clinical manifestation of hypophosphatemia involves several organs such as heart, respiratory, muscular, etc. Correction of hypophosphatemia was not the same regarding intravenous dose and infusion rate of phosphorus in different studies, and is generally done with symptomatic or severe manifestations.

Conclusions: Given the high prevalence, clinical features, and risk of multiple factors, early recognition of this disorder in critically ill pediatric patients should be performed. Studies should focus on treatment and on the association between hypophosphatemia and morbidity and/or mortality.

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Published

2014-12-31

How to Cite

1.
Conqui Solís A. Hypophosphatemia in critical pediatrics patients. Rev Peru Pediatr [Internet]. 2014 Dec. 31 [cited 2024 Nov. 23];67(4):211-8. Available from: https://pediatria.pe/index.php/pedperu/article/view/380

Issue

Vol. 67 Num. 4 (2014)

Section

ORIGINAL ARTICLE

Categories

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