Impact of Hypophosphatemia and Hypomagnesaemia on Diabetic Ketoacidosis patient's Outcome in Medical Intensive Care Unit

Abstract

Background: Diabetic ketoacidosis (DKA) is a life-threatening condition of biochemical derangements comprising hyperglycemia, acidosis, and ketonemia. The study aimed to explore the prognostic impact of phosphate (Po4) and magnesium (Mg) levels on DKA-associated morbidity and mortality.Methods: Sixty-eight patients with DKA were admitted to the intensive care unit (ICU) in the Internal medicine Department in Zagazig University Hospital over the period of 6 months were evaluated serially for Po4 and Mg levels among other routine investigation. The patients were followed for the in-hospital clinical outcome.Results: hyponatremia, HbA1c, random blood sugar (RBS), creatinine, urea, ICU stay, low pH, and hypophosphatemia showed a strong correlation with a mortality rate (P