PMID- 3118700
OWN - NLM
STAT- MEDLINE
DCOM- 19871204
LR  - 20190815
IS  - 0272-6386 (Print)
IS  - 0272-6386 (Linking)
VI  - 10
IP  - 5
DP  - 1987 Nov
TI  - Profound hypophosphatemia in the course of acute renal failure.
PG  - 346-9
AB  - Four of 19 patients with acute renal failure (ARF) requiring dialytic therapy 
      were hypophosphatemic (serum phosphate, 0.8 +/- 0.8 mg/dL) during their illness. 
      The hypophosphatemia could not be attributed to differences in the etiology of 
      renal failure, frequency of dialysis, or residual renal function. No 
      hypophosphatemic patient received phosphate-binding antacids. The 
      hypophosphatemia was related to carbohydrate (CHO) providing a large percentage 
      (greater than 79%) of total calories for a prolonged period. This complication 
      was likely caused by tissue anabolism as well as by CHO-stimulated, 
      insulin-induced intracellular shifts of phosphate. The greater use of parenteral 
      fat as a caloric source and more aggressive phosphate supplementation despite the 
      presence of ARF may help prevent this complication.
FAU - Kurtin, P
AU  - Kurtin P
AD  - Department of Pediatrics, New England Medical Center, Boston, MA.
FAU - Kouba, J
AU  - Kouba J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Kidney Dis
JT  - American journal of kidney diseases : the official journal of the National Kidney 
      Foundation
JID - 8110075
RN  - 0 (Dietary Carbohydrates)
RN  - 0 (Phosphates)
SB  - IM
MH  - Acute Kidney Injury/*blood/mortality/therapy
MH  - Adult
MH  - Aged
MH  - Dietary Carbohydrates/*administration & dosage
MH  - Energy Intake
MH  - Enteral Nutrition
MH  - Humans
MH  - Middle Aged
MH  - Parenteral Nutrition, Total/*adverse effects
MH  - Phosphates/administration & dosage/*blood
MH  - Renal Dialysis
EDAT- 1987/11/01 00:00
MHDA- 1987/11/01 00:01
CRDT- 1987/11/01 00:00
PHST- 1987/11/01 00:00 [pubmed]
PHST- 1987/11/01 00:01 [medline]
PHST- 1987/11/01 00:00 [entrez]
AID - S0272638687001161 [pii]
AID - 10.1016/s0272-6386(87)80099-9 [doi]
PST - ppublish
SO  - Am J Kidney Dis. 1987 Nov;10(5):346-9. doi: 10.1016/s0272-6386(87)80099-9.