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重症监护病房患者低钠血症:描述性横断面研究。

Hyponatremia in Patients Admitted to Intensive Care Unit of a Tertiary Center: A Descriptive Cross-sectional Study.

机构信息

Department of Clinical Skills, Medical University of the Americas, Nevis, West Indies.

Department of General Practice and Emergency Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Nov 2;60(255):935-938. doi: 10.31729/jnma.7123.

Abstract

INTRODUCTION

Hyponatremia is one of the common electrolyte abnormalities in intensive care unit settings. Hyponatremia may lead to an increased hospital stay, morbidity and mortality. Hyponatremia can occur due to a variety of iatrogenic as well as part of complex disease processes during hospital admission. The objective of this study was to find the prevalence of hyponatremia in patients admitted to the intensive care unit of a tertiary care centre.

METHODS

A descriptive cross-sectional study was conducted in the intensive care unit of a tertiary care centre for a duration of six months from 12 August 2015 to 11 January 2016. Ethical approval was taken from the Institutional Review Committee (Reference number: 124/6-11-E/072/073). Data was collected from hospital records. Patients with abnormal serum sodium levels after admission to the intensive care unit were included in the study. Hyponatremia was defined as a serum sodium level less than 135 mEq/L. Convenience sampling methods were used. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 102 patients, the prevalence of hyponatremia was found to be 21 (20.59%) (12.74-28.44, 95% Confidence Interval).

CONCLUSIONS

The prevalence of hyponatremia in patients admitted to the intensive care unit was higher than in other studies conducted in similar settings.

KEYWORDS

cross-sectional study; prevalence; sodium.

摘要

简介

低钠血症是重症监护病房常见的电解质异常之一。低钠血症可导致住院时间延长、发病率和死亡率增加。低钠血症可由多种医源性因素引起,也可作为住院期间复杂疾病过程的一部分。本研究的目的是确定在三级护理中心的重症监护病房住院患者中低钠血症的患病率。

方法

本研究为 2015 年 8 月 12 日至 2016 年 1 月 11 日在三级护理中心的重症监护病房进行的描述性横断面研究。本研究已获得机构审查委员会的伦理批准(参考编号:124/6-11-E/072/073)。从医院记录中收集数据。纳入研究的患者为重症监护病房入院后血清钠水平异常者。低钠血症定义为血清钠水平低于 135 mEq/L。采用方便抽样法。计算点估计值和 95%置信区间。

结果

在 102 名患者中,发现低钠血症的患病率为 21 例(20.59%)(12.74-28.44,95%置信区间)。

结论

重症监护病房住院患者低钠血症的患病率高于在类似环境中进行的其他研究。

关键词

横断面研究;患病率;钠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae5/9795098/ca6e91b0b5eb/JNMA-60-255-935-g1.jpg

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