Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Surgical Oncology
  •  Otolaryngology - Head and Neck Surgery
  •  Urology
  •  Cardiovascular Surgery
  •  Oral and Maxillofacial Surgery
  •  Obstetrics Surgery
  •  Minimally Invasive Surgery
  •  Endocrine Surgery

Abstract

Citation: Clin Surg. 2017;2(1):1356.Research Article | Open Access

Pre- and Post-Operative Hypomagnesaemia and Association with Adverse Outcomes in Elective Vascular Surgery

Sillo T, Ahmad M, Becker H, Garnham A and Wall M

Department of Vascular Surgery, Russells Hall Hospital, UK
Department of Vascular Anaesthesia, Russells Hall Hospital, UK

*Correspondance to: T O Sillo 

 PDF  Full Text DOI: 10.25107/2474-1647.1356

Abstract

Objectives: We aimed to establish the incidence of pre- and post-operative hypomagnesaemia in patients having major elective vascular surgery, and the association with post-operative complications.Design: A prospective analysis of patients undergoing major elective vascular surgical procedures in a regional vascular centre was performed over an eight-month period.
Materials and Methods: On-line electronic patient records (EPR) were used to obtain pre-operative serum magnesium levels, as well as first and second day post-operative titers. Hypomagnesaemia was identified as serum magnesium <0.7 mmol/L. Adverse outcomes were identified using a combination of EPR and written records.Results: We identified 256 patients. The commonest procedures were lower limb bypass, carotid endarterectomy (CEA), endovascular aneurysm repair (EVAR), femoral endarterectomy and open aortic aneurysm repair (OAR). Pre-operative hypomagnesaemia was found in 9.0%. Post-operative hypomagnesaemia was detected in 31.3%. De novo post-operative hypomagnesaemia occurred in 26.7%. The relative risk (RR) of cardiovascular complications in hypomagnesaemic patients was 2.20 (95% confidence interval (CI) =1.10–4.40, p=0.03). The RR of non-cardiovascular complications was 1.76 (95% CI=1.04–2.98, p=0.05). The combined RR of any complications in hypomagnesaemic patients was 2.07 (95% CI 1.40–3.08, p=0.0007). The mean post-operative length of stay (LOS) was 6.7 days in hypomagnesaemic patients, and 4.3 days in other patients (p =0.0018).
Conclusion: Pre- and post-operative hypomagnesaemia are common in patients undergoing elective vascular surgery. Post-operative hypomagnesaemia is associated with post-operative complications and increased length of stay.

Keywords

Vascular diseases; Magnesium; Cardiovascular abnormalities; Postoperative complications; Length of stay

Cite the article

Sillo T, Ahmad M, Becker H, Garnham A, Wall M. Pre- and Post-Operative Hypomagnesaemia and Association with Adverse Outcomes in Elective Vascular Surgery. Clin Surg. 2017; 2: 1356.

Search Our Journal

Journal Indexed In

Articles in PubMed

Automated Sagittal Craniosynostosis Classification from CT Images Using Transfer Learning
 PubMed  PMC  PDF  Full Text
Risk Factors for Visual Impairment in an Uninsured Population and the Impact of the Affordable Care Act
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Safely Avoiding Axillary Lymphadenectomy after Neoadjuvant Chemotherapy for Patients with Proven Axillary Lymph Node Involvement Early Breast Cancer? The French Multicenter Prospective Ongoing GANEA 3 Study
 Abstract  PDF  Full Text
Prognosis of Directional Atherectomy Combined with Drug-Coated Balloon Angioplasty versus Bare Nitinol Stent Angioplasty for Femoropopliteal Arteriosclerosis Obliterans: A Retrospective Cohort Study
 Abstract  PDF  Full Text
View More...