PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER
Objective: To find out the frequency of intensive care unit acquired hypernatremia in critically ill patients and to find out the outcomes in terms of mortality/discharge with respect to age and gender. Study Design: Cross sectional study. Place and Duration of Study: Medical, trauma and surgi...
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| Autores principales: | , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Army Medical College Rawalpindi
2020
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/5cc021f158904c1eb17bd68a6063e6ca |
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| Sumario: | Objective: To find out the frequency of intensive care unit acquired hypernatremia in critically ill patients and to find out the outcomes in terms of mortality/discharge with respect to age and gender.
Study Design: Cross sectional study.
Place and Duration of Study: Medical, trauma and surgical intensive care unit settings of Combined Military Hospital Kohat, from Jun 2018 to Jun 2019.
Methodology: A total of 100 patients were enrolled who were normonatremic at the time of intensive care unit admission. Patients were followed for 2 weeks of their stay for intensive care unit acquired complications and mortality. Serum sodium levels along with other investigations were carried out on daily basis from a single pathology laboratory. Data including the clinical diagnosis, APACHE II score and intensive care unit acquired complications was recorded on a proforma. Data was analyzed using SPSS version 22 and Microsoft Excel 365.
Results: The frequency of intensive care unit acquired hypernatremia was 46 (46%) further classified into mild 13 (13%), moderate 15 (15%) and severe 18 (18%) hypernatremia. The overall mortality was 30 (30%), 10 (18.5%) and 20 (43.5%) cases in normal and raised serum sodium group respectively. We reported a slightly higher frequency of Intensive care unit acquired hypernatremia in our study. The mortality was also significant in hyponatremic group.
Conclusion: Intensive care unit acquired hypernatremia was an invaluable marker for quality health care in critically ill patients and it’s also an important risk factor for Intensive care unit associated mortality. |
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