Plasma-Ionized Magnesium in Hospitalized Horses with Gastrointestinal Disorders and Systemic Inflammatory Response Syndrome

Magnesium disorders in horses with gastrointestinal disorders or systemic inflammatory response syndrome (SIRS) are scarcely characterized. The purpose of the study was to explore the association of magnesium disorders with diagnosis, SIRS and mortality in horses admitted to a referral equine hospit...

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Main Authors: Julia Sanmartí, Lara Armengou, Lucas Troya-Portillo, José Ángel Robles-Guirado, Anna Bassols, José Ríos, Eduard Jose-Cunilleras
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/12/12/1479
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author Julia Sanmartí
Lara Armengou
Lucas Troya-Portillo
José Ángel Robles-Guirado
Anna Bassols
José Ríos
Eduard Jose-Cunilleras
author_facet Julia Sanmartí
Lara Armengou
Lucas Troya-Portillo
José Ángel Robles-Guirado
Anna Bassols
José Ríos
Eduard Jose-Cunilleras
author_sort Julia Sanmartí
collection DOAJ
description Magnesium disorders in horses with gastrointestinal disorders or systemic inflammatory response syndrome (SIRS) are scarcely characterized. The purpose of the study was to explore the association of magnesium disorders with diagnosis, SIRS and mortality in horses admitted to a referral equine hospital. In total, 75 sick horses were included in an observational prospective study and classified as: obstructive (<i>n</i> = 17), inflammatory (<i>n</i> = 10) and ischemic gastrointestinal disorders (<i>n</i> = 12), and other non-gastrointestinal systemic disorders (<i>n</i> = 36). All sick horses were also divided according to the presence (<i>n</i> = 26) or absence of SIRS, and survival to discharge from hospital (survivors (<i>n</i> = 61) and non-survivors (<i>n</i> = 14). In addition, 26 horses were included as controls. On admission, mean (iMg) (95% confidence interval (CI)) in the SIRS group (0.47 (0.43–0.50 mmol/L)) was within the normal range (0.4–0.6 mmol/L). The obstructive group had lower (iMg) compared to the control group (0.44 (0.38–0.51 mmol/L) vs. 0.56 (0.50–0.61 mmol/L); <i>p</i> = 0.001). In total, 8 out of 17 (47%) horses with obstructive lesions presented with hypomagnesemia compared to controls (4% (1/26)) (<i>p</i> = 0.001). In conclusion, hypomagnesemia was more prevalent on admission in horses in the obstructive group, and to a lesser extent, in the inflammatory and ischemic groups. In contrast to human ICU patients, the proportion of hospitalized horses with hypomagnesemia was not associated with mortality.
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spelling doaj.art-1410ea5757a84d4b9381bb71c5c299ef2023-11-23T15:13:47ZengMDPI AGAnimals2076-26152022-06-011212147910.3390/ani12121479Plasma-Ionized Magnesium in Hospitalized Horses with Gastrointestinal Disorders and Systemic Inflammatory Response SyndromeJulia Sanmartí0Lara Armengou1Lucas Troya-Portillo2José Ángel Robles-Guirado3Anna Bassols4José Ríos5Eduard Jose-Cunilleras6Servei de Medicina Interna Equina, Fundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainServei de Medicina Interna Equina, Fundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainServei de Medicina Interna Equina, Fundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainDepartament de Bioquímica i Biologia Molecular, Facultat de Veterinaria, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainDepartament de Bioquímica i Biologia Molecular, Facultat de Veterinaria, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainDepartment of Clinical Farmacology, Hospital Clinic, Medical Statistics Core Facility, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08036 Barcelona, SpainServei de Medicina Interna Equina, Fundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainMagnesium disorders in horses with gastrointestinal disorders or systemic inflammatory response syndrome (SIRS) are scarcely characterized. The purpose of the study was to explore the association of magnesium disorders with diagnosis, SIRS and mortality in horses admitted to a referral equine hospital. In total, 75 sick horses were included in an observational prospective study and classified as: obstructive (<i>n</i> = 17), inflammatory (<i>n</i> = 10) and ischemic gastrointestinal disorders (<i>n</i> = 12), and other non-gastrointestinal systemic disorders (<i>n</i> = 36). All sick horses were also divided according to the presence (<i>n</i> = 26) or absence of SIRS, and survival to discharge from hospital (survivors (<i>n</i> = 61) and non-survivors (<i>n</i> = 14). In addition, 26 horses were included as controls. On admission, mean (iMg) (95% confidence interval (CI)) in the SIRS group (0.47 (0.43–0.50 mmol/L)) was within the normal range (0.4–0.6 mmol/L). The obstructive group had lower (iMg) compared to the control group (0.44 (0.38–0.51 mmol/L) vs. 0.56 (0.50–0.61 mmol/L); <i>p</i> = 0.001). In total, 8 out of 17 (47%) horses with obstructive lesions presented with hypomagnesemia compared to controls (4% (1/26)) (<i>p</i> = 0.001). In conclusion, hypomagnesemia was more prevalent on admission in horses in the obstructive group, and to a lesser extent, in the inflammatory and ischemic groups. In contrast to human ICU patients, the proportion of hospitalized horses with hypomagnesemia was not associated with mortality.https://www.mdpi.com/2076-2615/12/12/1479hypomagnesemiahypocalcemiagastrointestinal disorderselectrolytesequine
spellingShingle Julia Sanmartí
Lara Armengou
Lucas Troya-Portillo
José Ángel Robles-Guirado
Anna Bassols
José Ríos
Eduard Jose-Cunilleras
Plasma-Ionized Magnesium in Hospitalized Horses with Gastrointestinal Disorders and Systemic Inflammatory Response Syndrome
Animals
hypomagnesemia
hypocalcemia
gastrointestinal disorders
electrolytes
equine
title Plasma-Ionized Magnesium in Hospitalized Horses with Gastrointestinal Disorders and Systemic Inflammatory Response Syndrome
title_full Plasma-Ionized Magnesium in Hospitalized Horses with Gastrointestinal Disorders and Systemic Inflammatory Response Syndrome
title_fullStr Plasma-Ionized Magnesium in Hospitalized Horses with Gastrointestinal Disorders and Systemic Inflammatory Response Syndrome
title_full_unstemmed Plasma-Ionized Magnesium in Hospitalized Horses with Gastrointestinal Disorders and Systemic Inflammatory Response Syndrome
title_short Plasma-Ionized Magnesium in Hospitalized Horses with Gastrointestinal Disorders and Systemic Inflammatory Response Syndrome
title_sort plasma ionized magnesium in hospitalized horses with gastrointestinal disorders and systemic inflammatory response syndrome
topic hypomagnesemia
hypocalcemia
gastrointestinal disorders
electrolytes
equine
url https://www.mdpi.com/2076-2615/12/12/1479
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