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Patients with hypercalcemia were identified in the patient population of a German emergency department during a 11 year time period and studied regarding reproducibility of elevated calcium values, causes of hypercalcemia, symptoms. acute renal injury, mortality and treatment response.
Patients, who presented to the emergency department of a tertiary German hospital with a total calcium of ≥2.65 mmol/l between January 2010 and March 2021, was retrospectively studied. From the electronic patient records we analyzed if the elevated calcium values were reproducible in follow-up measurements, identified the cause of hypercalcemia, listed the symptoms, investigated a correlation between calcium and creatinine values to study acute renal injury directly due to hypercalcemia, calculated the mortality rate stratified by the calcium value on presentation and studied the treatment response regarding lowering calcium values by different treatments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Retrospective Chart Review | Group includes patient with hypercalcemia ≥2.65 mmol/l, who reported to the emergency room of a tertiary hospital |
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| Measure | Description | Time Frame |
|---|---|---|
| Development of total calcium values | Overview of total calcium values within 5 days | 5 days after enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Reproducibility of elevated calcium values | Determination of cause of hypercalcemia, of symptoms, of treatment response. In dependence of hospital stay, kann be determined later than 5 days after enrollment | 5 days after enrollment |
| Correlation creatinine calcium |
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Inclusion Criteria:
Exclusion Criteria:
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Patients reporting to the Emergency Room of the University Hospital Cologne and recieved a determination of the total calcium level
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| Name | Affiliation | Role |
|---|---|---|
| Volker Burst, MD | University Hospital of Cologne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department II of Internal Medicine,University of Cologne | Cologne | 50937 | Germany |
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| ID | Term |
|---|---|
| D006934 | Hypercalcemia |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D002128 | Calcium Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D014883 | Water-Electrolyte Imbalance |
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Determination of correlation between calcium and creatinine. |
| 5 days after enrollment |
| Mortality | occurence of death within of 5 days after enrollment | 5 days after enrollment |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |