ArticleHematology, transfusion and cell therapy
Mineral disorders after hematopoietic stem cell transplantation in patients receiving parenteral nutrition.
Article in Hematology, transfusion and cell therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundParenteral nutrition is a critical therapeutic approach for patients undergoing hematopoietic stem cell transplantation. However, parenteral nutrition is associated with complications such as mineral disorders. This study evaluated the prevalence of hypophosphatemia, hypokalemia, and hypomagnesemia in adult transplant patients before and within the first 24 days of parenteral nutrition infusion. PATIENTS AND
methodsThis retrospective cohort study included patients who underwent hematopoietic stem cell transplantation and required parenteral nutrition at a public quaternary hospital in Brazil between January 2012 and January 2022. Patients were categorized based on indications for parenteral nutrition and specific diagnoses. Laboratory monitoring of phosphorus, potassium, and magnesium levels was performed at predefined intervals during parenteral nutrition infusion, starting at 72 h and during subsequent 4-day intervals until engraftment. Hypophosphatemia, hypokalemia, and hypomagnesemia were defined as levels below established reference values. Descriptive analyses were applied, and the chi-square test, crude odds ratios, and Fisher's exact test were used to compare categorical variables between the periods.
resultsThe study revealed varying prevalences of hypophosphatemia (21.1-40.3 %), hypokalemia (10.5-31.2 %), and hypomagnesemia (50.0-62.3 %) among the 77 patients included in the study. Severe mineral disorders were observed in only a small proportion of patients.
conclusionPatients undergoing hematopoietic stem cell transplantation had a high prevalence of mineral depletion throughout the engraftment period.
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