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. 2024 Apr 3;4:23. doi: 10.1186/s44158-024-00158-2

Table 2.

Comparison of serum lactate parameters by serum magnesium levels from ICU admission to day 5

HypoMg
(Mg level < 1.6 mg/dL)
NormoMg
(1.6–2.4 mg/dL)
HyperMg
(Mg level > 2.4 mg/dL)
P-value
ICU admission N = 105 N = 558 N = 96
 Lactate level, mmol/L 3.9 (2.2–6.1) 2.1 (1.3–3.3) ** 2.1 (1.4–3.6) **  < 0.001
 Lactic acidosis n (%) 84 (70) 288 (51.6) ** 48 (50) **  < 0.001
 Severe lactic acidosis n (%) 48 (45.7) 103 (18.5) ** 23 (24) **  < 0.001
Day 2 N = 105 N = 553 N = 65
 Lactate level, mmol/L 2.3 (1.5–3.6) 1.4 (1.0–2.2) ** 1.6 (1.2–2.1) **  < 0.001
 Lactic acidosis n (%) 61 (58.1) 152 (27.5) ** 16 (24.6) **  < 0.001
 Severe lactic acidosis n (%) 21 (20) 42 (7.6) ** 4 (6.2) *  < 0.001
Day 3 N = 63 N = 560 N = 56
 Lactate level, mmol/L 1.8 (1.2–2.3) 1.3 (1.0–1.9) ** 1.5 (1.1–1.9) 0.001
 Lactic acidosis n (%) 22 (34.9) 109 (19.5) * 9 (16.1) 0.011
 Severe lactic acidosis n (%) 8 (12.7) 20 (3.6) ** 0 (0) *  < 0.001
Day 4 N = 42 N = 516 N = 50
 Lactate level, mmol/L 1.6 (1.1–2.3) 1.3 (1.0–1.7) * 1.3 (1.0–1.7) 0.019
 Lactic acidosis n (%) 13 (31.0) 84 (16.3) 4 (8.0) * 0.011
 Severe lactic acidosis n (%) 5 (11.9) 11 (2.1) ** 0 (0)  < 0.001
Day 5 N = 30 N = 472 N = 42
 Lactate level, mmol/L 1.8 (1.3–2.2) 1.3 (1.0–1.7) * 1.4 (1.0–1.9) 0.004
 Lactic acidosis n (%) 11 (36.7) 70 (14.8) * 6 (14.3) 0.006
 Severe lactic acidosis n (%) 2 (6.7) 8 (1.7) 0 (0) 0.13

Continuous and categorical data are presented as medians with interquartile ranges (25th and 75th percentiles) and counts with percentages, respectively

Multiple comparisons were performed using the Steel–Dwass test, chi-square test, or Fisher's exact test with the Bonferroni correction

Abbreviations: HypoMg hypomagnesemia, NormoMg normomagnesemia, HyperMg Hypermagnesemia, Mg magnesium, ICU intensive care unit

Comparison with HypoMg: * P < 0.05; ** P < 0.01. Comparison with NormoMg: P < 0.05; †† P < 0.01