Dergiler / Erciyes Medical Journal / 2021 / Cilt: 43 - Sayı: 2

The Association Between RefeedingHypophosphatemia and Serum Appetite-RegulatingHormone Levels in Critically Ill Patients: A Prospective, Observational, Single-Center Pilot Study

Sayfa
146–151
Yayın Tarihi
2022-10-11
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Adiponectin level was found to be high at 24 h inpatients with RH.

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Amaç & Hipotez:Objective: Refeeding hypophosphatemia (RH) is common in critically ill patients and is associated with high morbidity andmortality, but the influence on appetite-regulating hormones is unknown.
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Temel Bulgular & Veri:Thestudy included patients aged ≥18 years who were admitted to the ICU and feeding at least 72 hours (h).
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Sonuç & Katkı:Adiponectin level was found to be high at 24 h inpatients with RH.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: Refeeding hypophosphatemia (RH) is common in critically ill patients and is associated with high morbidity andmortality, but the influence on appetite-regulating hormones is unknown. This study aimed to determine the associationbetween serum levels of phosphorus and specific appetite-regulating hormones in critically ill patients. Materials and Methods: This study was performed prospectively in patients admitted to the intensive care unit (ICU). Thestudy included patients aged ≥18 years who were admitted to the ICU and feeding at least 72 hours (h). Serum was obtainedat baseline, 24 h, and 72 h later for concentrations of leptin, adiponectin, ghrelin, resistin, insulin-like growth factor 1 (IGF 1), and glucagon-like peptide 1 (GLP-1). Phosphorus levels were accepted at ≤2.4 mg/dL for RH. Results: Of the 26 cases, 17 (65%) were male. The baseline phosphorus levels at baseline, 24 h, and 72 h were 3.58±0.94mg/dL, 2.61±1.05 mg/dL, and 2.91±0.76 mg/dL, respectively. RH rate was developed 24 h, 72 h, and over time in 38%,15%, and 42% patients, respectively. Adiponectin levels at 24 h were significantly different between patients who developedRH and those who did not develop RH. A positive correlation was observed between 24 h serum adiponectin level and 24 hphosphorus level. A positive correlation was found between baseline serum ghrelin level and baseline phosphorus level. No sig nificant difference was found between RH and insulin, leptin, ghrelin, resistin, IGF-1, and GLP-1 at baseline, 24 h, and 72 h. Conclusion: RH was found to be of high ratio in critically ill patients. Adiponectin level was found to be high at 24 h inpatients with RH.

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Bu Makaleye Atıf Yap

MUHTAROĞLU, S., ŞAHİN, S., GÜNDOĞAN, K., TEMEL, Ş., ÖZER, N. T., ŞAHİN, G. G., SUNGUR, M., DOĞAN, E., GÜVEN, M. (2022). The Association Between RefeedingHypophosphatemia and Serum Appetite-RegulatingHormone Levels in Critically Ill Patients: A Prospective, Observational, Single-Center Pilot Study. Erciyes Medical Journal, Cilt: 43 - Sayı: 2, 146–151. https://ajindex.com/articles/502205

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Kaynakça (12)

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