| Title | Trends in Intravenous Magnesium Use and Outcomes for Status Asthmaticus in Children's Hospitals from 2010 to 2017. |
| Publication Type | Journal Article |
| Year of Publication | 2020 |
| Authors | Mittal V, Hall M, Antoon J, Gold J, Kenyon C, Parikh K, Morse R, Quinonez R, Teufel RJ, Shah SS |
| Journal | J Hosp Med |
| Volume | 15 |
| Issue | 7 |
| Pagination | 403-406 |
| Date Published | 2020 07 01 |
| ISSN | 1553-5606 |
| Keywords | Administration, Intravenous, Adolescent, Child, Child, Preschool, Female, Hospitalization, Hospitals, Pediatric, Humans, Intensive Care Units, Pediatric, Length of Stay, Magnesium, Male, Retrospective Studies, Status Asthmaticus |
| Abstract | Intravenous (IV) magnesium is used as an adjunct therapy in management of status asthmaticus with a goal of reducing intubation rate. A recent review suggests that IV magnesium use in status asthmaticus reduces admission rates. This is contrary to the observation of practicing emergency room physicians. The goal of this study was to assess trends in IV magnesium use for status asthmaticus in US children's hospitals over 8 years through a retrospective analysis of children younger than 18 years using the Pediatric Health Information System database. Outcomes were IV magnesium use, inpatient and intensive care unit admission rate, geometric mean length of stay, and 7-day all-cause readmission rate. IV magnesium use for asthma hospitalization more than doubled over 8 years (17% vs. 36%; P < .001). Yearly trends were not significantly associated with hospital or intensive care unit admission rate or 7-day all-cause readmissions, although length of stay was reduced (P < .001). |
| DOI | 10.12788/jhm.3405 |
| Alternate Journal | J Hosp Med |
| PubMed ID | 32584247 |
| PubMed Central ID | PMC7402601 |
| Grant List | K12 HL137943 / HL / NHLBI NIH HHS / United States |