Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Iron Metabolism in the Recovery Phase of Critical Illness

Version 1 : Received: 7 May 2024 / Approved: 7 May 2024 / Online: 7 May 2024 (11:43:07 CEST)

How to cite: Zhang, X.; Holbein, B.; Zhou, J.; Lehmann, C. Iron Metabolism in the Recovery Phase of Critical Illness. Preprints 2024, 2024050375. https://doi.org/10.20944/preprints202405.0375.v1 Zhang, X.; Holbein, B.; Zhou, J.; Lehmann, C. Iron Metabolism in the Recovery Phase of Critical Illness. Preprints 2024, 2024050375. https://doi.org/10.20944/preprints202405.0375.v1

Abstract

Iron is an essential nutrient for humans and microbes, such as bacteria. Iron deficiency occurs commonly in critically ill patients, but iron replacement therapy is not considered during the acute phase of critical illness, since it increases iron availability for invading microbes and oxidative stress. However, persistent iron deficiency in the recovery phase is harmful with potential adverse outcomes such as cognitive dysfunction, fatigue and cardiopulmonary dysfunction. Therefore, it is important to treat iron deficiency timely and efficiently. This article reviews current knowledge about iron-related biomarkers in critically ill patients and provides possible criteria to guide decision-making for iron supplementation in the recovery phase of critical illness.

Keywords

critical illness; iron deficiency; recovery; iron supplementation

Subject

Medicine and Pharmacology, Endocrinology and Metabolism

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