A Prospective study on clinical profile of hyponatremia in ICU hospitalized patients

Abstract

Background: Hyponatremia is the commonest electrolyte abnormality noticed in the ICU which has a diverse variety of manifestations. Aims: To determine the incidence, etiology and profile of clinical features for varying degrees of hyponatremia in 100 adult patients admitted to Yenepoya Medical College Hospital, Mangalore during the study period September 2012 to October 2012. Methods: A prospective cross-sectional study on Clinical Profile of Hyponatremia of 100 patients was undertaken after institutional clearance and with informed consent at Yenepoya Medical College Hospital to study 100 patients of hyponatremia. Results: Severe hyponatremia was noticed in 13% of study population. The commonest manifestation was confusion and the commonest etiology was SIADH, pneumonia being the most significant reason. Mortality was seen in 4%, all secondary to carcinoma. Conclusion: Hyponatremia occurs in association with a wide variety of systemic conditions and with treatment with accompanying variety of clinical manifestations. Hyponatremia also is influenced by seasonal variations and occurs more often during the monsoon season.