Hyponatremia Incidence and its Association with Mortality in Patients with Pulmonary Tuberculosis Observational Study
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 03
Abstract
Introduction: Pulmonary tuberculosis has been of great interest for us given the high number of cases in our community at the Mexican-American border, however, this abundance of patients allows us to observe whether there is an association between the previously described development of hyponatremia and mortality in these patients. Objective: To determine the association between mortality and hyponatremia in patients with pulmonary tuberculosis. Material and Methods: We analyzed the electronic health record of patients with a pulmonary tuberculosis diagnosis from a 4-year period in the General Hospital of Mexicali, in México. Inclusion criteria were patients over the age of 18, a pulmonary tuberculosis diagnosis, and complete laboratory tests. The collected data was then analyzed through descriptive statistics. Results: 116 patients with pulmonary tuberculosis were included, of which 91 (78.4%) were male. A history of past Infection with the Human immunodeficiency virus and previous tuberculosis infection were shown to correlate with higher mortality and requirement of intensive care. The logistic regression analysis showed that hyponatremia had no association with mortality or the need for intensive care. Complications such as Acute respiratory distress syndrome and Acute kidney injury were related to higher mortality and need for critical care. Conclusions: The incidence of hyponatremia was higher than previously described, but there was no statistical association between hyponatremia and mortality in comparison to patients with normal sodium. Among this study’s weaknesses, most patients were hospitalized at the time of diagnosis, implying they could already have had a complication, thus increasing the incidence.
Authors and Affiliations
Jeremy Javier Hernandez Rios, MD, Jesus Alan Guardado Vindiola, MD, Joaquín Cordova Erberk, Katya Lorena Wilhelmy Ledesma, Paola Alejandra Sterling Carrillo, Marina Estrada Rodríguez, Hiram Javier Jaramillo Ramirez, MD
Keywords
Related Articles
- EP ID EP713624
- DOI 10.47191/ijmscrs/v2-i3-05
- Views 43
- Downloads 0
Micropapillary Variant of Invasive Mucinous Carcinoma - A Case Report and Review of Literature
Invasive micropapillary variant of mucinous carcinoma breast is an under-recognized category which shares features of both pure mucinous carcinoma and invasive micropapillary carcinoma. Due to its greater propensity for...
A Systematic Review of Myocarditis Associated with Covid-19 Mrna Vaccination among Adolescents
The COVID-19 infection which is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can lead to severe respiratory illness especially in male adolescents. This systematic review article aimed to co...
Nurses’ Knowledge and Practice on Pressure Ulcer Prevention and Management for Hospitalized Patients at Tertiary Level Hospital
Background: Pressure ulcers are areas of localized injury to the skin, underlying tissue or both, usually over a bony prominence, as a result of pressure or in combination with shear. There are common problem in health c...
Effectiveness of Walk Standing Backbend Arch or Modified Anuvittasana in Patients with Si Joint Dysfunction: Experimental Study
Background – Sacroiliac joint dysfunction is a painful musculoskeletal condition, responsible for 15-30% cases of low back pain, also called as Sacroiliac syndrome. It is a term often used to describe pain in and around...
Techniques for Control of Abdominal Bleeding: Review of the Literature
Abdominal traumatism (AT) produces lesions in the wall or in the content (viscera, mesos, vascular ducts, biliopancreatic, urinary tract). The abdomen can be injured in isolation, although about a third of pediatric pol...