Magnesium for asthma
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Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!
Kelly November 27, 2017 - 1:49 am
Since one of the main outcomes of studies of IV magnesium for acute asthma exacerbations is typically need for hospital admission, it seems that patients that respond to magnesium + other therapies can be discharged home. A 2016 Cochrane review of magnesium for asthma in children found only 5 studies with 182 patients that compared IV magnesium to placebo. https://www.ncbi.nlm.nih.gov/pubmed/27126744 IV magnesium reduced the odds of hospital admission by 68% (OR 0.32, 95%CI 0.14-0.74). The number needed to treat was 5 children for every 1 admission prevented.