Serum calcium phosphate product as a predictor of mortality in hospitalized patients. (Record no. 3301)

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fixed length control field 02046nam a22002297a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20230728123542.0
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fixed length control field 230728b |||||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Description conventions NLM
060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER
Classification number THS-00723
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Bhattarai,Abhinav.
245 ## - TITLE STATEMENT
Title Serum calcium phosphate product as a predictor of mortality in hospitalized patients.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. c2023.
300 ## - PHYSICAL DESCRIPTION
Extent 74p.
500 ## - GENERAL NOTE
General note Thesis Report.
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT:<br/><br/>Background and aim: Recent studies have shown that elevated calcium phosphate arithmetic product (CaP) can lead to <br/>extraosseous calcifications and increase the risk of death. The aim of this study was to compare <br/>the admission CaP between survivors and non survivors and investigate if that could predict the <br/>survival outcomes in critically ill non-CKD patients. <br/><br/>Methods: Altogether 126 study participants were enrolled which comprised of 3 cohorts: 52 critically ill non<br/>CKD patients, 49 CKD patients and 25 healthy subjects. Blood samples were collected within 24 <br/>hours of admission and calcium, phosphate, and CaP were estimated. Statistical analysis was <br/>performed on SPSS version 25. <br/><br/>Results: The admission levels of phosphate, and CaP were significantly higher in non-survivors (p= 0.002 <br/>and 0.011). Regression analysis revealed that phosphate (r2=0.170, p= 0.002) and CaP (r2=0.122, <br/>p= 0.011) could significantly predict mortality. ROC analysis showed satisfactory performance of <br/>admission phosphate and CaP (AUC= 0.719 and 0.621) in classifying patients at risk of mortality. <br/>Kaplan-Meier survival analysis showed the lowest survival rates in admission CaP < 22 mg2/dL2 <br/>and > 43 mg2/dL2. <br/><br/>Conclusion: Abnormal CaP is associated with increased incidence of mortality in critically ill patients and <br/>measuring CaP at admission can be a useful tool to predict the survival outcomes.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Serum.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Calcium phosphate.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Predictor of mortality.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Hospitalized patients.
856 ## - ELECTRONIC LOCATION AND ACCESS
Link text https://www.nhrc.gov.np/
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme National Library of Medicine
Koha item type Thesis Report
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    National Library of Medicine     Nepal Health Research Council Nepal Health Research Council Reference 07/28/2023 723   THS00723/BHA/2023 THS-00723 07/28/2023 07/28/2023 Thesis Report

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