INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2456-4184 | Impact factor: 8.76 | ESTD Year: 2016
Scholarly open access journals, Peer-reviewed, and Refereed Journals, Impact factor 8.76 (Calculate by google scholar and Semantic Scholar | AI-Powered Research Tool) , Multidisciplinary, Monthly, Indexing in all major database & Metadata, Citation Generator, Digital Object Identifier(DOI)
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.
"Study of clinico-etiological profile and outcome of hyponatremia in patients admitted in critical care", International Journal of Novel Research and Development (www.ijnrd.org), ISSN:2456-4184, Vol.7, Issue 10, page no.472-479, October-2022, Available :http://www.ijnrd.org/papers/IJNRD2210058.pdf
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2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
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