Am J Emerg Med. 2021 Dec 16;52:208-211. doi: 10.1016/j.ajem.2021.12.019. Online ahead of print.
PURPOSE: To explore the clinical value of serum calcium (Ca) in elderly patients with sepsis.
MATERIALS AND METHODS: The clinical data and laboratory data of elderly patients with sepsis (n = 165) and elderly population for physical examination (n = 67) in a tertiary hospital from January 2020 to November 2020 were collected. We analyzed serum Ca levels in sepsis and septic shock firstly, and then continued to investigate them in the survival group and the death group. Meanwhile, we also assessed the correlation between serum Ca and PCT.
RESULTS: The serum Ca levels of the elderly patients with sepsis were lower than that of the control group (median 1.98 vs 2.31 mmol/L, P < 0.001), and the more severe the sepsis, the lower the serum Ca levels. Sepsis patients with decreased serum Ca had higher shock rate and mortality. There was a negative correlation between serum Ca and PCT (r = -0.2957, P < 0.001).
CONCLUSION: Serum Ca has a certain value for the early recognition of elderly patients with sepsis and the judgment of the severity of the disease.