A Study Of Outcome Of Elderly Patients Admited In Medical ICU Having Hyponatremia in A Tertiary Care Center

Swayang Sudha Panda; Malyaban Das; Prajit Mazumdar; Rajendra Prasad Satapathy

Volume : VIII, Issue : IV, April - 2019

A Study Of Outcome Of Elderly Patients Admited In Medical ICU Having Hyponatremia in A Tertiary Care Center

Swayang Sudha Panda, Malyaban Das, Prajit Mazumdar, Rajendra Prasad Satapathy

Abstract :

Introduction: Hyponatrmia is a common problem in hospitalized patients, especially among elderly patients. It occurs in about 30% patients irrespective of causes and age group.Hyponatremia is defined as plasma sodium level less than 135 mEq/lit. Timely diagnosis and treatment are the most important factors for improving neurological status and reduced hospital stay. Unless taken care of sufficiently, hyponatremia has a major impact on outcome of the hospitalized patients Materials and methods: A total of 100 patients were selected in the period of study is 15 months. With a clinical diagnosis of type of hyponatremia, and other blood investigations reports patients are classified into hypovolemic , isovoluemic or hypervolemic hyponatremia. Patients� outcome to treatment was recorded. Results: Among the patients studied, 13 patient had serum sodium levels of less than 105 mmol/l, 26 patients had serum sodium level of 105–115 mmol/l and 61 patients had serum sodium levels of 115–125 mmol. There was no statistically significant difference between the mean age of the group of patients who improved and expired nor was there any statistically significant difference between the group with or without Non CNS symptoms (p = 0.16) with response to outcome but the response to treatment and survival was better among females than compared to males (p=0.0012) and there appearsed to be higher mortality in the patients with admission serum sodium < 105 mmol/l. Conclusion: The response to treatment and survival was better among females than compared to males (p=0.0012) among all patients with hyponatremia and there appeared to be higher mortality in the patients with admission serum sodium < 105 mmol/l. There was also a statistically significant difference in corrections of mean serum sodium in the different groups with regards to improvement