STUDY OF HYPONATREMIA IN ICU SETTING IN TERTIARY CARE CENTER - A CROSS SECTIONAL STUDY

Abstract

Introduction– An abnormally low level of sodium in the blood is referred to as hyponatremia. Careful assessment and classication are important to direct diagnosis and treatment, reduce the risk of substantial morbidity and mortality in acute severe cases, and avoid the neurological complications associated with the overly rapid correction. In the ICU, hyponatremia is associated most frequently with chronic conditions such as congestive heart failure, advanced renal disease, and cirrhosis. To study the preval Aims & Objectives: ence of Hyponatremia in ICU Setting & to study the various etiological factors responsible for Hyponatremia. A cross-secti Materials & Methods– onal observational study was conducted on 150 patients for 2 years from September 2019 to December 2021 at ICU at Tertiary Care center .All patients detail history, clinical examination and Laboratory Investigation were carried out. Out of a total 150 patients, 27 patie Results- nts did not have any Comorbid condition, 46 patients had one and 77 patients had more than one comorbidity. 113 (75.33%) had severe hyponatremia with serum sodium below 125 mEq/L, 26 (17.33%) patients were euvolemic, GCS Score of ≥13 was seen in 65 patients out of which 38 (25.33%) had severe hyponatremia. GCS Score between 8-12 seen 68 (45.33%) patients had severe hyponatremia. GCS Score of <8 was seen in 7(4.67%) patients with severe Hyponatremia. Correlation between GCS Score and Severity of Hyponatremia was found highly signicant.(p<0.001, HS). Those who had severe hyponatremia had low GCS score (P<0.0001, HS) SIADH is the most typical cause of hyponatremia in ICU pati Conclusion- ents. In the presence of multiple comorbidities, a prolonged length of stay is seen. Shorter serum sodium and GCS at admission are linked to lower survival.