PROGNOSIS OF INTENSIVE CARE UNIT ACQUIRED HYPERNATREMIA IN DIFFERENT AGE GROUPS AND GENDER

Abstract

Objective: To find out the frequency of intensive care unit acquired hypernatremia in critically ill patients and to find out the outcomes in terms of mortality/discharge with respect to age and gender. Study Design: Cross sectional study. Place and Duration of Study: Medical, trauma and surgical intensive care unit settings of Combined Military Hospital Kohat, from Jun 2018 to Jun 2019. Methodology: A total of 100 patients were enrolled who were normonatremic at the time of intensive care unit admission. Patients were followed for 2 weeks of their stay for intensive care unit acquired complications and mortality. Serum sodium levels along with other investigations were carried out on daily basis from a single pathology laboratory. Data including the clinical diagnosis, APACHE II score and intensive care unit acquired complications was recorded on a proforma. Data was analyzed using SPSS version 22 and Microsoft Excel 365. Results: The frequency of intensive care unit acquired hypernatremia was 46 (46%) further classified into mild 13 (13%), moderate 15 (15%) and severe 18 (18%) hypernatremia. The overall mortality was 30 (30%), 10 (18.5%) and 20 (43.5%) cases in normal and raised serum sodium group respectively. We reported a slightly higher frequency of Intensive care unit acquired hypernatremia in our study. The mortality was also significant in hyponatremic group. Conclusion: Intensive care unit acquired hypernatremia was an invaluable marker for quality health care in critically ill patients and it’s also an important risk factor for Intensive care unit associated mortality.

Keywords

• critically ill
• hypernatremia
• hypokalemia
• intensive care unit acquired hypernatremia