{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:39:46Z","timestamp":1792121986350,"version":"4.4.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Nanjing Luhe District Health Science and Technology Development Project","award":["LHYB2024011"],"award-info":[{"award-number":["LHYB2024011"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Science Progress"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This cohort study investigated the relationship between serum magnesium levels and the incidence of acute kidney injury (AKI) in patients with acute pancreatitis (AP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from the Medical Information Mart for Intensive Care IV (MIMIC-IV) database, focusing on adult AP patients (\u226518 years old) with ICU stays longer than 24\u2005h. Univariable logistic regression was used to identify key covariates. Both univariate and multivariable logistic regression models were used to evaluate the link between serum magnesium levels and AKI occurrence. A restricted cubic spline (RCS) was used to visualize the associations, and odds ratios (ORs) with 95% confidence intervals (CIs) were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During hospitalization, 455 (69.1%) participants experienced AKI. After adjusting for relevant factors, higher serum magnesium concentrations were significantly associated with AKI (OR: 2.247, 95% CI: 1.234\u20134.091; p\u2009=\u20090.008). Magnesium levels between 1.6\u20132.6\u2005mg\/dL (OR: 1.872, 95% CI: 1.105\u20131.174, p\u2009=\u20090.020) and \u22652.6\u2005mg\/dL (OR: 3.851, 95% CI: 1.08\u201313.736, p\u2009=\u20090.038) were linked to increased AKI occurrence. The RCS curve indicated a nonlinear relationship, suggesting a potential threshold effect between serum magnesium and AKI risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher serum magnesium levels were found to be associated with AKI in ICU patients with acute pancreatitis. Further studies are needed to explore this relationship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00368504251319648","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T04:36:21Z","timestamp":1738816581000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Serum magnesium levels and the risk of acute kidney injury in ICU patients with acute pancreatitis: A MIMIC-IV cohort study"],"prefix":"10.1177","volume":"108","author":[{"given":"Xuehong","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Intensive Care Unit, Nanjing Luhe People's Hospital, Yangzhou University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoubing","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit, Nanjing Luhe People's Hospital, Yangzhou University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit, Nanjing Luhe People's Hospital, Yangzhou University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1820-6416","authenticated-orcid":false,"given":"Wantong","family":"Su","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"bibr1-00368504251319648","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.20317"},{"key":"bibr2-00368504251319648","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.09.043"},{"key":"bibr3-00368504251319648","volume":"174","author":"Gardner TB","journal-title":"Ann Intern 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