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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Retrospective Study of Prevalence of Electrolyte Imbalance on Presentation and its Correlation with Disease Severity in COVID 19

S. Shankar, P. M. Karthik, P. Santhosh Kumar, K. Praveen Gandhi, Sankar Kalairajan and Shivu Bidari
Page: 146-149 | Received 22 Aug 2023, Published online: 10 Oct 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.10.146.149

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Abstract

Hypokalemia and other electrolyte disorders may have clinically significant implications for patient management and potentially contribute to unraveling pathogenetic mechanisms underlying COVID‐19. Present study aimed to assess the prevalence of electrolyte imbalance and correlate with disease severity of COVID‐19. This retrospective study was conducted among the patients attended to AVMC hospital with RTPCR positive for Covid‐19 and/ or HRCT findings suggestive of COVID pneumonia. Patients with CKD, cirrhosis, CAD, systemic hypertension, T2DM and patients on drugs like diuretics, ACEI and ARBs were excluded from the study. The diagnosed patients were analysed for electrolyte and correlated with the severity and outcome of the disease. Total of 250 patients fulfilling inclusion criteria are included in the present study. The mean age of patients was found to be 53.4±16.3yrs of age, with 53.9% were female patients. 55.8% of the patients had the electrolyte abnormality at baseline. Hyponatremia (35.8%) was the most frequent baseline electrolyte abnormality documented. Hypokalemia and Hypochloremia were found in 6.8% of patients each. Patient’s severity of disease, ICU admission was higher among the patients with hyponatremia compared to the patients with lower severity. Baseline electrolyte abnormalities, particularly hyponatraemia, are associated with a poor prognosis in COVID‐19 and baseline electrolyte testing, even after hospitalisation, might be useful in determining the risk of severe COVID‐19.

How to cite this article:

S. Shankar, P. M. Karthik, P. Santhosh Kumar, K. Praveen Gandhi, Sankar Kalairajan and Shivu Bidari. A Retrospective Study of Prevalence of Electrolyte Imbalance on Presentation and its Correlation with Disease Severity in COVID 19.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.10.146.149
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.10.146.149