Clinical Profile Of Patients With Hyponatremia Admitted In Medical ICU.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
BACKGROUND: Hyponatraemia is the most common electrolyte disorder among hospitalised patients occurring in upto 22% of them and has been associated with increased mortality. There is scarce data about the clinical profile of hyponatraemia in Indian ICU settings. David B Mount defined hyponatraemia as a serum sodium concentration (Na+) less than 135 mEq/L. MATERIALS AND METHODS This prospective observational hospital-based study was conducted from September 2015-March2017 at Sri Aurobindo Medical College & Post Graduate Institute, Indore (M.P.). A total of 100 cases with serum sodium level <135mEq/L were studied. History and clinical examinations were recorded in all patients. Necessary laboratory and radiological investigations were done. Results: The incidence of hyponatraemia in our study was 7.1 percent, 60 cases were males and 40 cases were females. Hyponatraemia was commonly observed in the age group of 35-50 years in both the groups. Two-third (61.0%) patients with hyponatremia were diagnosed with specific diseases of which chronic liver diseases was commonest whereas one-third (39.0%) patients of hyponatremia were found with non- specific disease. 38 patients had euvolemia, 35 patients had hypervolemia and 27 patients had hypovolemia. The mortality was found to be 6% in this study and was found to be higher in hypovolemic hyponatraemia group. Conclusion: Hyponatremia was more common in the age group 20-80 years. Most of the patients in the present study were found to have euvolemic hyponatremia (38%).The majority of the patients in the present study were noticed to have underlying neurological causes. Among neurological causes, cerebrovascular episode and seizure disorder were commonest. The mortality associated with hyponatremia in the present study was 6%. The mortality was higher in Hypovolemic hyponatremia. The type of hyponatremia among patients may be considered as the significant indices of recovery pattern and outcome.
Authors and Affiliations
Dr Nikhil Bakhtar, Dr Sameer Inamdar, Dr R. K. Jha, Dr Vijay Bakhtar, Dr Nitin Pawani
Keywords
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