Palacios CA, Ruíz ÁM, Monares ZE, Soto LME, Aguirre SJS, Franco GJ

Language: Spanish
References: 12
Page: 98-103
PDF size: 230.12 Kb.

ABSTRACT

Introduction: Sodium alterations are common in critically ill patients, so their recognition, accurate diagnosis and treatment are essential to the adequate performance of these patients. Objectives: To analyze the relationship of disorders of sodium in patients with critical neurological status, with mortality. Design: Retrospective, descriptive. Material and methods: We included all patients with neurocritical disease admitted in the Department of Critical Care Medicine ABC Medical Center January 2010 to September 2012. Results: 140 patients were analyzed, of which 74 (53%) were male and 66 (47%) women, the overall mortality was 17.9%; of the total deaths, 36% were secondary to hypernatremia and 8% to hypernatremia. The average length of stay in the Intensive Care Unit in patients with hypernatremia was 34.3 ± 38.3 and for hyponatremia was 19.26 ± 16 days (p = 0.01). Patients enrolled with hypernatremia had higher serum glucose levels compared with hyponatremic and normonatremic (p = 0.000). The logistic regression analysis showed that atrial fibrillation (p = 0.35) (RR 1.02, 95% CI 0.99-1.05), Glasgow coma scale (p = 0.000) (OR 1.45, 95% CI 1.27-1.64) and mixed solution (p = 0.009) (RR 29, 95% CI 2.281-369.7) are the factors associated with mortality in patients who developed neurocritical sodium disorders. Conclusions: Neurocritical patients with Glasgow coma scale ≤ 8 that were managed with mixed solution increased susceptibility to develop hypernatremia; usually sodium disorders were more likely in women who had atrial fibrillation since admission.

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