{"id":"https://openalex.org/W2314838017","doi":"https://doi.org/10.1097/01.ccm.0000440147.63211.63","title":"909","display_name":"909","publication_year":2013,"publication_date":"2013-11-26","ids":{"openalex":"https://openalex.org/W2314838017","doi":"https://doi.org/10.1097/01.ccm.0000440147.63211.63","mag":"2314838017"},"language":"en","primary_location":{"id":"doi:10.1097/01.ccm.0000440147.63211.63","doi":"https://doi.org/10.1097/01.ccm.0000440147.63211.63","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ccm.0000440147.63211.63","pdf_url":null,"source":{"id":"https://openalex.org/S108732581","display_name":"Critical Care Medicine","issn_l":"0090-3493","issn":["0090-3493","1530-0293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Critical Care Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080074215","display_name":"Beatrice Adams","orcid":"https://orcid.org/0000-0002-8917-2698","observed_orcids":["https://orcid.org/0000-0002-8917-2698"]},"institutions":[{"id":"https://openalex.org/I2801973574","display_name":"Tampa General Hospital","ror":"https://ror.org/03tj5qd85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801973574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Beatrice Adams","raw_affiliation_strings":["Tampa General Hospital, Tampa, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tampa General Hospital, Tampa, FL","institution_ids":["https://openalex.org/I2801973574"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113694148","display_name":"Maresa Glass","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801973574","display_name":"Tampa General Hospital","ror":"https://ror.org/03tj5qd85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801973574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maresa Glass","raw_affiliation_strings":["Tampa General Hospital, Tampa, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tampa General Hospital, Tampa, FL","institution_ids":["https://openalex.org/I2801973574"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018895592","display_name":"Earnest Alexander","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801973574","display_name":"Tampa General Hospital","ror":"https://ror.org/03tj5qd85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801973574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Earnest Alexander","raw_affiliation_strings":["Tampa General Hospital, Tampa, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tampa General Hospital, Tampa, FL","institution_ids":["https://openalex.org/I2801973574"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2801973574"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.23127017,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"41","issue":null,"first_page":"A228","last_page":"A228"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10516","display_name":"Parathyroid Disorders and Treatments","score":0.600600004196167,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10516","display_name":"Parathyroid Disorders and Treatments","score":0.600600004196167,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10684","display_name":"Acute Kidney Injury Research","score":0.20059999823570251,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12876","display_name":"Potassium and Related Disorders","score":0.06289999932050705,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/drug-shortages","display_name":"drug shortages","score":0.8320000171661377},{"id":"https://openalex.org/keywords/sodium-phosphate","display_name":"sodium phosphate","score":0.5950000286102295},{"id":"https://openalex.org/keywords/potassium-phosphate","display_name":"potassium phosphate","score":0.9980000257492065},{"id":"https://openalex.org/keywords/continuous-renal-replacement-therapy","display_name":"continuous renal replacement therapy","score":0.8650000095367432},{"id":"https://openalex.org/keywords/hypophosphatemia","display_name":"hypophosphatemia","score":0.949999988079071},{"id":"https://openalex.org/keywords/hyperkalemia","display_name":"hyperkalemia","score":0.8679999709129333},{"id":"https://openalex.org/keywords/serum-phosphorus","display_name":"serum phosphorus","score":0.5600000023841858},{"id":"https://openalex.org/keywords/critical-care","display_name":"intensive care","score":0.3659999966621399}],"concepts":[{"id":"https://openalex.org/C2778573388","wikidata":"https://www.wikidata.org/wiki/Q1641384","display_name":"Hypophosphatemia","level":2,"score":0.9711399674415588},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.871990978717804},{"id":"https://openalex.org/C2780243291","wikidata":"https://www.wikidata.org/wiki/Q605259","display_name":"Hyperkalemia","level":2,"score":0.7312162518501282},{"id":"https://openalex.org/C2779541074","wikidata":"https://www.wikidata.org/wiki/Q185643","display_name":"Renal replacement therapy","level":2,"score":0.6636584997177124},{"id":"https://openalex.org/C510538283","wikidata":"https://www.wikidata.org/wiki/Q674","display_name":"Phosphorus","level":2,"score":0.46718931198120117},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.44176167249679565},{"id":"https://openalex.org/C2777132085","wikidata":"https://www.wikidata.org/wiki/Q46220103","display_name":"Phosphate","level":2,"score":0.43435749411582947},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3617202937602997},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3344191908836365},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.07866960763931274},{"id":"https://openalex.org/C191897082","wikidata":"https://www.wikidata.org/wiki/Q11467","display_name":"Metallurgy","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.ccm.0000440147.63211.63","doi":"https://doi.org/10.1097/01.ccm.0000440147.63211.63","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ccm.0000440147.63211.63","pdf_url":null,"source":{"id":"https://openalex.org/S108732581","display_name":"Critical Care Medicine","issn_l":"0090-3493","issn":["0090-3493","1530-0293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Critical Care Medicine","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2793691813","https://openalex.org/W2991517966","https://openalex.org/W2514428755","https://openalex.org/W2023154966","https://openalex.org/W6940047791","https://openalex.org/W2003560863","https://openalex.org/W4396994651","https://openalex.org/W2143836644","https://openalex.org/W3158577809","https://openalex.org/W2590369480"],"abstract_inverted_index":{"Introduction:":[0],"National":[1],"drug":[2],"shortages":[3],"result":[4,302],"in":[5,99,105,179,205,241,257,303],"numerous":[6],"challenges":[7],"for":[8,53,61,85,160,197,255,284,298],"clinicians,":[9],"including":[10],"the":[11,23,39,56,69,150,195,200,226,282,296],"need":[12],"to":[13,17,34,219,250,288],"make":[14],"practice":[15,36],"changes":[16],"limit":[18],"or":[19],"conserve":[20],"supply.":[21],"With":[22],"ongoing":[24],"shortage":[25],"of":[26,143,165,168,216,225,265,273,286],"all":[27,141,180],"intravenous":[28,274],"phosphate":[29,46,50,63,101,134,247,254,275],"products,":[30],"our":[31,258],"institution":[32],"had":[33],"change":[35],"by":[37,280],"revising":[38],"CRRT":[40,115,181,259],"phosphorus":[41,58,129,146,158,173],"replacement":[42,54,70,83,102,159,198,233,299],"protocol.":[43,202],"Once":[44],"sodium":[45,253],"became":[47],"unavailable,":[48],"potassium":[49,127,144],"was":[51,66,72,103,209,248,268],"used":[52],"and":[55,111,128,132,140,145],"serum":[57,126,172,206],"level":[59,208],"threshold":[60,71,84,283,297],"when":[62],"is":[64],"replaced":[65],"changed.":[67],"Previously,":[68],"levels":[73,86,130,217],"less":[74,87,174],"than":[75,88,175,191],"2.9":[76,176],"mg/dL.":[77,290],"The":[78],"revised":[79,201],"protocol":[80],"has":[81],"a":[82,117,220,232],"1.6":[89,192,289],"mg/dL":[90,211],"(severe":[91],"hypophosphatemia).":[92],"Methods:":[93],"Single":[94],"center,":[95],"retrospective":[96],"chart":[97],"review":[98],"which":[100],"analyzed":[104],"26":[106,151],"patients,":[107],"age":[108],"18":[109],"years":[110],"older,":[112],"who":[113],"received":[114],"during":[116],"six":[118],"week":[119],"period.":[120],"Data":[121],"collection":[122],"included":[123],"patient":[124,243],"demographics,":[125],"before":[131],"after":[133,212,230],"replacement,":[135,213],"adverse":[136,239,305],"effects":[137],"from":[138],"hypophosphatemia,":[139,169],"sources":[142],"administered.":[147],"Results:":[148],"Of":[149,183],"patients":[152,227],"on":[153],"CRRT,":[154],"6":[155],"(31%)":[156],"required":[157],"severe":[161,189],"hypophosphatemia.":[162],"A":[163],"total":[164],"156":[166,185],"episodes":[167],"defined":[170],"as":[171],"mg/dL,":[177],"noted":[178],"patients.":[182],"these":[184],"episodes,":[186],"21":[187],"were":[188,236],"(less":[190],"mg/dL)":[193],"meeting":[194],"criteria":[196],"with":[199,214],"Average":[203],"increase":[204],"phosphorous":[207],"0.67":[210],"100%":[215],"correcting":[218],"moderate":[221],"hypophosphatemia":[222,287],"(1.6-2.2mg/dL).":[223],"None":[224],"experienced":[228],"hyperkalemia":[229],"receiving":[231],"dose.":[234],"There":[235],"no":[237],"documented":[238],"events":[240],"this":[242],"population.":[244],"Conclusions:":[245],"Potassium":[246],"able":[249],"effectively":[251],"replace":[252],"use":[256],"population":[260],"without":[261],"causing":[262],"any":[263,304],"incidents":[264],"hyperkalemia.":[266],"It":[267],"also":[269,292],"determined":[270,293],"that":[271,294],"supplies":[272],"could":[276],"safely":[277],"be":[278],"conserved":[279],"lowering":[281],"treatment":[285],"We":[291],"changing":[295],"did":[300],"not":[301],"events.":[306]},"counts_by_year":[],"updated_date":"2026-07-30T17:31:21.811387","created_date":"2016-06-24T00:00:00"}
