A Study on Incidence and Etiology of Hyponatremia in Hospitalised Elderly Patients Admitted in RIMS
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 9
Abstract
Background: Hyponatremia is one of the commonest electrolyte abnormality in clinical practice and most common cause for hospital admission among elderly patients. Causing significant mortality and morbidity. Early detection and treatment may significantly decrease mortality. Aim: To know the incidence and etiology of hyponatremia Materials and Methods: This was prospective observational study done between October 2011 to October 2012 at Rajendra Institute of Medical Sciences, Dept of General Medicine, Ranchi. All patients with more than 60 yrs of age with atleast two serum values less than 130 mmol/L were included. Results: Total no of patients admitted was 2100 and serum Sodium done for 2000 patients. Incidence of hyponatremia was 18.9% and severe hyponatremia was 5%.Most common age group affected with hyponatremia was 61-70 yrs (44%). Most common symptom was nausea, vomiting, seizure and altered sensorium. Most common etiology for hyponatremia was SIADH (28%) and Diuretics was second commonest cause (15%). Conclusion: Symptamatic hyponatremia was more common among hospitalised elderly patients, SIADH and Diuretics was most common cause for hyponatremia. Mortality was about 10%, was mainly due to underlying primary disease. Most of symptoms of hyponatremia were relievd following treatment.
Authors and Affiliations
Lokesh N K
Keywords
Related Articles
- EP ID EP515676
- DOI -
- Views 69
- Downloads 0
A Retrospective Analysis of Annual Cesarean Section Rate in a Tertiary Care Hospital, KOTA
Objective: Caesarean Section is the second commonest surgery done in India after tubectomy and has great impact on maternal and neonatal health. Increasing Caesarean rates have raised the need to study its influencing fa...
Sonographic Evaluation of Solitary Thyroid Nodule with Pathologic Correlation
Thyroid nodules are most common problems encountered in clinical practice. There should be proper diagnostic work up to select patients for surgical intervention, who have high chances of harbouring malignancy in the nod...
Evaluation of Various Etiological Factors & Clinical Presentations of Epididymo-Orchitis at a Tertiary Care Centre
Purpose- No Indian data exists on the incidence and prevalence of epididymo-orchitis. Western data suggest that the incidence of the disease is highest among young males aged between 18 and 35 years of age. Our aims were...
Age and Delay Hospitalization is Most Effective Prognostic Tool for Determination of Outcome for Cerebrovascular Accident Patients
Aims & Objectives: To determine the characteristic, clinical etiologies, type of stroke andhospital andpost discharge 6 month in follow up in patient admitted to medicine/ neurology services with acute stroke in M. Y. Ho...
Analysis of Factors Affecting the Job Satisfaction of Staff Nurses in a Tertiary Care Hospital, Kerala, India
The level of job satisfaction of staff nurses in a hospital is an important topic of global interest. There are various descriptive studies regarding this topic in public and private hospitals across the world, but there...