UGC Approved Journal no 63975

ISSN: 2349-5162 | ESTD Year : 2014
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Published in:

Volume 9 Issue 12
December-2022
eISSN: 2349-5162

UGC and ISSN approved 7.95 impact factor UGC Approved Journal no 63975

7.95 impact factor calculated by Google scholar

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Published Paper ID:
JETIR2212023


Registration ID:
505075

Page Number

a194-a206

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Title

Prevalence and Correlates of At Admission Hyponatremia in Critically Ill Elderly patients and its impact on clinical course of ICU: Experience from a specialized geriatric facility in North India

Abstract

ABSTRACT Aim: To assess the prevalence of at admission hyponatremia in critically ill elderly patients; and to describe its clinicodemographic correlates and impact on clinical course and outcome. Method: A retrospective record review of 267 non-COVID ICU admissions at a specialized geriatric facility over a period of one year was done. At admission serum sodium levels <135 mEq/L were considered as hyponatremia. Demographic profile and comorbidity profile of the patients was noted. Severity of hyponatremia was assessed as mild (130-134.9 mEq/L), moderate (125-129.9 mEq/L) and severe (<125 mEq/L) respectively. Total duration of ICU stay was noted as clinical course of illness and in-ICU mortality was noted as the final outcome. Data was analysed using SPSS 21.0 software. Chi-square, independent samples t-test and ANOVA were used to analyze the data. Results: Mean age of patients was 72.65±7.82 years (Range 60-93 years), majority of them were males (56.2%). At admission prevalence of hyponatremia was 36.3% (n=97). Among hyponatremia cases majority (n=50; 51.5%) had mild, followed by moderate (n=31; 32.0%) and severe (n=16; 16.5%) hyponatremia. Mean duration of ICU stay was 8.65±5.51 days (range 1-45 days). There were 10 (3.7%) mortalities. History of cardiovascular disease and higher mean number of comorbidities showed a significant association with at-admission hyponatremia. Mortality rate was significantly higher in hyponatremic (8.2%) as compared to non-hyponatremic cases (1.2%). Severity of hyponatremia showed a significant association with hypertension, cardiovascular disease, number of comorbidities, type of hyponatremia, but did not show a significant association with duration of ICU stay and mortality. Conclusion: Critically ill elderly patients had a high prevalence of at-admission hyponatremia which also tend to affect the outcome. Key words: Critically ill, Elderly patients, ICU, Hyponatremia, Mortality.

Key Words

Critically ill, Elderly patients, ICU, Hyponatremia, Mortality.

Cite This Article

"Prevalence and Correlates of At Admission Hyponatremia in Critically Ill Elderly patients and its impact on clinical course of ICU: Experience from a specialized geriatric facility in North India", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.9, Issue 12, page no.a194-a206, December-2022, Available :http://www.jetir.org/papers/JETIR2212023.pdf

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2349-5162 | Impact Factor 7.95 Calculate by Google Scholar

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 7.95 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

Cite This Article

"Prevalence and Correlates of At Admission Hyponatremia in Critically Ill Elderly patients and its impact on clinical course of ICU: Experience from a specialized geriatric facility in North India", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.9, Issue 12, page no. ppa194-a206, December-2022, Available at : http://www.jetir.org/papers/JETIR2212023.pdf

Publication Details

Published Paper ID: JETIR2212023
Registration ID: 505075
Published In: Volume 9 | Issue 12 | Year December-2022
DOI (Digital Object Identifier): http://doi.one/10.1729/Journal.32296
Page No: a194-a206
Country: LUCKNOW, UTTAR PRADESH, India .
Area: Medical Science
ISSN Number: 2349-5162
Publisher: IJ Publication


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