Evidence · Systematic review or meta-analysis
The incidence of admission ionised hypocalcaemia in paediatric major trauma-A systematic review and meta-analysis.
- Blood products
- Fluids and electrolytes
- Major trauma
- Medical
- Nursing
- Renal and metabolic
- Trauma and burns
Summary
This systematic review and meta-analysis examines the incidence of ionised hypocalcaemia on admission in children with major trauma, extrapolating from adult data where it is common and linked to mortality. Only three retrospective cohort studies met inclusion criteria, with varying definitions of hypocalcaemia. The pooled findings suggest hypocalcaemia is present in a sizeable minority of paediatric major trauma admissions, without a statistically significant association with mortality or pH difference. Relevant to PICU and trauma teams considering calcium monitoring during resuscitation and transfusion.
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- Open (Creative Commons)
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