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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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2020-10-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://pafmj.org/index.php/PAFMJ/article/view/5563 |
| _version_ | 1818428352074088448 |
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| author | Qasim Zaheer Tariq Bashir Tareen Taimoor Ashraf Khan |
| author_facet | Qasim Zaheer Tariq Bashir Tareen Taimoor Ashraf Khan |
| author_sort | Qasim Zaheer |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-14T15:00:15Z |
| format | Article |
| id | doaj.art-5cc021f158904c1eb17bd68a6063e6ca |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-14T15:00:15Z |
| publishDate | 2020-10-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-5cc021f158904c1eb17bd68a6063e6ca2022-12-21T22:56:52ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422020-10-0170513541359PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDERQasim Zaheer0Tariq Bashir Tareen1Taimoor Ashraf Khan2Combined Military Hospital, Kohat/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Kohat/National University of Medical Sciences (NUMS) PakistanHeadquarter Ghazaband Scouts, Belleli FC Balochistan North, Quetta PakistanObjective: 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.https://pafmj.org/index.php/PAFMJ/article/view/5563critically illhypernatremiahypokalemiaintensive care unit acquired hypernatremia |
| spellingShingle | Qasim Zaheer Tariq Bashir Tareen Taimoor Ashraf Khan PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER Pakistan Armed Forces Medical Journal critically ill hypernatremia hypokalemia intensive care unit acquired hypernatremia |
| title | 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_short | 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 |
| topic | critically ill hypernatremia hypokalemia intensive care unit acquired hypernatremia |
| url | https://pafmj.org/index.php/PAFMJ/article/view/5563 |
| work_keys_str_mv | AT qasimzaheer prognosisofintensivecareunitacquiredhypernatremiaindifferentagegroupsandgender AT tariqbashirtareen prognosisofintensivecareunitacquiredhypernatremiaindifferentagegroupsandgender AT taimoorashrafkhan prognosisofintensivecareunitacquiredhypernatremiaindifferentagegroupsandgender |