Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Hyponatremia is the commonly seen electrolyte disorder in almost 50% of elderly in‐patients. Multiple aetiologies, comorbidities and impaired ability to maintain water and electrolyte homeostasis play a major role. Therefore, it is important to evaluate the prevalence, etiologies, comorbidities and outcomes of hyponatremia in elderly admitted patients. A retrospective observational study was done over a period of 6 months on 100 adult patients in the age group of $60 years who were admitted in the Department of General Medicine. The data was retrieved from hospital documentation and systematically analyses using SPSS26 software system. Frequencies and percentages were analyzed using Descriptive statistical tools. Trends were analyzed using Chi‐square test. The mean age of the patients in our study population was 65.08±11.02 years and mean Na+level was 132.91±6.39mmol/l. Out of 100 patients, 52 (52%) were female and 48 (48%) were male. Out of 48 males, 26 (54.16%) had Hyponatremia and out of 52 females, 34 (65.38%) had Hyponatremia. In our study population, the prevalence of Hyponatremia was 60%. Type 2 Diabetes Mellitus (25%) and Hypertension (20%) were the most common comorbidities. The common presenting complaint was generalized weakness (40%) followed by lethargy and body pain (20%) and giddiness (20%). Out of 100 patients, 18 (18%) patients had COPD, 8 (8%) patients had CKD, 7 (7%) patients had CAD, 4 (4%) patients had CVA, 4 (4%) patients had CLD, 6 (6%) patients had Malignancy and 8 (8%) patients had Pulmonary Tuberculosis. Out of 60 patients, 34 (56.66%) had mild, 20 (33.33%) had moderate and 6 (20%) had severe hyponatremia. Mild cases of Hyponatremia (56.66%) were treated with 0.9%NS and severe hyponatremia (20%) was treated with 3%NS and tolvaptan. Improvement was observed in 55 (91.66%) patients and the mortality rate was 5 (8.33%). Hyponatremia may prolong the hospital stay but the outcome of the patients mainly depends upon etiology and severity of comorbidities. A systematic approach can significantly improve the assessment and management.
How to cite this article:
Chandrakala , Mohammad Irfan Ali, Krutika Rani and Syed Mohammed Hussaini. Study of Prevalence of Hyponatremia in Elderly and Its Relevance with Outcomes.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.237.241
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.237.241