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:	Qasim Zaheer, Tariq Bashir Tareen, Taimoor Ashraf Khan
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	critically ill hypernatremia hypokalemia intensive care unit acquired hypernatremia Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/5cc021f158904c1eb17bd68a6063e6ca
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spelling	oai:doaj.org-article:5cc021f158904c1eb17bd68a6063e6ca2021-12-02T14:58:39ZPROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER0030-96482411-8842https://doaj.org/article/5cc021f158904c1eb17bd68a6063e6ca2020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5563https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: 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.Qasim ZaheerTariq Bashir TareenTaimoor Ashraf KhanArmy Medical College Rawalpindiarticlecritically illhypernatremiahypokalemiaintensive care unit acquired hypernatremiaMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1354-1359 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	critically ill hypernatremia hypokalemia intensive care unit acquired hypernatremia Medicine R Medicine (General) R5-920
spellingShingle	critically ill hypernatremia hypokalemia intensive care unit acquired hypernatremia Medicine R Medicine (General) R5-920 Qasim Zaheer Tariq Bashir Tareen Taimoor Ashraf Khan PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER
description	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.
format	article
author	Qasim Zaheer Tariq Bashir Tareen Taimoor Ashraf Khan
author_facet	Qasim Zaheer Tariq Bashir Tareen Taimoor Ashraf Khan
author_sort	Qasim Zaheer
title	PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER
title_short	PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER
title_full	PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER
title_fullStr	PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER
title_full_unstemmed	PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER
title_sort	prognosis of intensive care unit acquired hypernatremia in different age groups and gender
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/5cc021f158904c1eb17bd68a6063e6ca
work_keys_str_mv	AT qasimzaheer prognosisofintensivecareunitacquiredhypernatremiaindifferentagegroupsandgender AT tariqbashirtareen prognosisofintensivecareunitacquiredhypernatremiaindifferentagegroupsandgender AT taimoorashrafkhan prognosisofintensivecareunitacquiredhypernatremiaindifferentagegroupsandgender
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PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER

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