Preferences for the measurement and supplementation of magnesium, phosphate and zinc in ICUs: The international WhyTrace survey.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
AuthorsVesterlund, Gitte K
Myatra, Sheila N
Arabi, Yaseen M
Zampieri, Fernando G
Schefold, Joerg C
Buanes, Eirik A
Thormar, Katrin M
MetadataShow full item record
CitationVesterlund GK, Ostermann M, Myatra SN, Arabi YM, Sadat M, Zampieri FG, et al. Preferences for the measurement and supplementation of magnesium, phosphate and zinc in ICUs: The international WhyTrace survey. Acta anaesthesiologica Scandinavica. 2020.doi:10.1111/aas.13738.
AbstractBackground: Patients admitted to the Intensive Care Unit (ICU) often have low magnesium, phosphate and zinc levels. Monitoring of serum concentrations and supplementation may be important, but there is no consensus on optimal practice. The objective of the WhyTrace survey was to describe current practice regarding the measurement and supplementation of magnesium, phosphate and zinc in ICUs. Methods: A 54-item electronic questionnaire was developed in accordance with SURGE, SUrvey Reporting GuidelinE, to address international clinical practice in the ICU. National investigators recruited ICUs in ten countries with one physician responding per ICU using a unique e-mail distributed survey-link. Results: The questionnaire was sent to clinicians in 336 ICUs of whom 283 (84%) responded. In 62% of the ICUs, a standard procedure was in place regarding the measurement of serum magnesium levels, in 58% for phosphate and in 9% for zinc. Zinc was never or rarely measured in 64% of ICUs. The frequency of requesting serum levels varied from twice daily to once weekly. Regarding supplementation, 66% of ICUs had a standard procedure for magnesium, 63% for phosphate and 15% for zinc. Most procedures recommended supplementation when serum levels were below the lower reference level, but some used the upper reference levels as the threshold for supplementation and others decided on a case-by-case basis. Conclusion: The practice of measuring and supplementing magnesium, phosphate and zinc differed substantially between ICUs. Our findings indicate that there is a need for high-quality prospective data on frequencies of measurements, treatment goals and effects of supplementation on patient-important outcomes. Keywords: ICU; critically ill; magnesium; phosphate; trace elements; zinc.
DescriptionTo access publisher's full text version of this article click on the hyperlink below
Rights© 2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.
- Effects of magnesium, phosphate and zinc supplementation in ICU patients-Protocol for a systematic review.
- Authors: Vesterlund GK, Thomsen T, Møller MH, Perner A
- Issue date: 2020 Jan
- Zinc supplementation in intensive care: results of a UK survey.
- Authors: Duncan A, Dean P, Simm M, O'Reilly DS, Kinsella J
- Issue date: 2012 Feb
- Intensive Care Unit Structure Variation and Implications for Early Mobilization Practices. An International Survey.
- Authors: Bakhru RN, McWilliams DJ, Wiebe DJ, Spuhler VJ, Schweickert WD
- Issue date: 2016 Sep
- Prevalence of hypophosphatemia in the ICU - Results of an international one-day point prevalence survey.
- Authors: Berger MM, Appelberg O, Reintam-Blaser A, Ichai C, Joannes-Boyau O, Casaer M, Schaller SJ, Gunst J, Starkopf J, ESICM-MEN section.
- Issue date: 2021 May
- Approach to hypophosphataemia in intensive care units - a nationwide survey.
- Authors: Geerse DA, Bindels AJ, Kuiper MA, Roos AN, Spronk PE, Schultz MJ
- Issue date: 2012 Nov