Paper Title
Study of clinico-etiological profile and outcome of hyponatremia in patients admitted in critical care
Article Identifiers
: Authors
Keywords
Elder, Euvolemia, Hypervolemia, Hypovolemia, SIADH, Hyponatremia
Abstract
Aim: To study clinico-etiological profile and outcome of hyponatremia in patients admitted in critical care. Material and Methods: It was an observational study and included all patients admitted in ICU/HDU with hyponatremia from January 2020 to June 2021 in Mahatma Gandhi Medical College and Hospital, Jaipur. The inclusion criteria comprised of all patients admitted in critical care (ICU/HDU) with a serum sodium concentration <135 meq/l. The selected socio-demographic, various causes and symptoms, clinical presentation and recovery pattern and outcome of hyponatremia was analyzed statistically and types of hyponatremia may be associated with assessment of Serum osmolality, Urinary osmolality and urinary Na+ levels, and recovery pattern and outcome among patients with hyponatremia was carried out. Results: Euvolemia, hypervolemia and hypovolemia was reported in 58%, 24% and 18% of the subjects respectively. Most common etiology was SIADH (48%) followed by renal disorders (16%). Most common cause of SIADH was cerebrovascular accident followed by pneumonia. Most of the patients had SIADH as the etiology of hyponatremia and all of these patients had euvolemic hypoosmolar hypontraemia. Mortality was reported more in Hypervolemic (25%) followed by Hypovolemic (22.22%) and Euvolemic subjects (13.79%). Management of patients viz. 3% NaCl, diuretics, 0.9% NaCl, oral salt and water restriction was done in 39%, 24%, 64%, 47% and 26% of the subjects respectively. Conclusion: Symptomatic hyponatremia is common among the hospitalized patients. Neurological symptoms are common in hyponatremia patients. SIADH and euvolemic hyponatremia formed the largest subgroup in the study. The mortality was mainly due to underlying primary diseases.
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How To Cite (APA)
Dr CHHAVI GOYAL, Dr AMBIKA TYAGI, & Dr PALLAVI GOEL (October-2022). Study of clinico-etiological profile and outcome of hyponatremia in patients admitted in critical care. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 7(10), 472-479. https://ijnrd.org/papers/IJNRD2210058.pdf
Issue
Volume 7 Issue 10, October-2022
Pages : 472-479
Other Publication Details
Paper Reg. ID: IJNRD_183402
Published Paper Id: IJNRD2210058
Downloads: 000122255
Research Area: Medical Science
Author Type: Indian Author
Country: Udaipur , Rajasthan , India
Published Paper PDF: https://ijnrd.org/papers/IJNRD2210058.pdf
Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2210058
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