Volume : IV, Issue : VI, June - 2014

Hyponatremia As A Predictor of Death in End Stage Liver Disease Patients

Amr M Elrabat, Fardous A. Ramadan, Sahar A. El Gharabawy

Abstract :

Background: Hyponatremia, defined as serum sodium concentration less than 135 mEq/L. The prevalence of hyponatremia in the ICU can be as high as 30% to 40%. Regarding end stage liver disease (ESLD) patients; hyponatremia is a common problem and is associated with increased duration of hospital stay and increased morbidity and mortality. Aim of the work is to detect the prognostic value of hyponatremia in end stage liver disease (ESLD) patients and its impact on the outcome of these patient. Patients and methods: 118 patients were grouped on the basis of serum sodium concentration at time of presentation. Results: Mortality was found to be insignificantly higher in hyponatremic patients with serum sodium level <130 mEq/L (88.89%) when compared to those with serum sodium level >130 mEq/L (83.7%). The study also showed significant decrease in serum sodium level at the end of the study compared to time of admission (p–value 0.0001). Conclusion: Hyponatremia is common among ESLD patients, and it is positively associated with long duration till death of patients, it is significantly decreased from start to end of study meaning that progressive hyponatremia is a strong predictor of death in ESLD patients

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Amr M Elrabat, Fardous A. Ramadan, Sahar A. El-Gharabawy Hyponatremia As A Predictor of Death in End Stage Liver Disease Patients Indian Journal of Applied Research, Vol.IV, Issue.VI June 2014

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