ICU sedation, delirium & recovery

Lower mean phosphate independently predicts mortality in critically ill patients: Results from a prospective cohort study

J Crit CarePublished Prospective cohort study

Authors' conclusion

Hypophosphatemia is frequent in the ICU, and was associated with unfavorable outcomes.

Study context

Population
Adult intensive care unit (ICU) patients (> 18 years) with ICU LOS of at least 24 h
Participants
317 patients
Exposure
Hypophosphatemia vs Control
  • Hypophosphatemian = 111
Outcome
ICU and in-hospital mortality (prognostic value of lower mean phosphate)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

ICU and in-hospital mortality, independent predictors (multivariate)
Relative risk (95% CI)P value
Lower mean phosphate
0.02(0.001–0.09)
P = 0.044
Higher APACHE II
1.1(1.01–1.2)
P = 0.045

Observational data: associations, not effects.

Further findings

Prevalence of hypophosphatemia
35% · 111

Severity scores and mortality

Admission APACHE II, SOFA (ICU days 1, 3, 7) and ICU and in-hospital mortality greater in the hypophosphatemia group than control

Original publication

Lower mean phosphate independently predicts mortality in critically ill patients: Results from a prospective cohort study. J Crit Care. Published 2 February 2023. doi:10.1016/j.jcrc.2023.154273

Composed by AI from the published abstract and checked against it. How Briefs are made →

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