Author/Authors :
Gündüz, Ercan Dicle University - Faculty of Medicine - Emergency Medicine Department, Turkey , Zengin, Yılmaz Dicle University - Faculty of Medicine - Emergency Medicine Department, Turkey , İçer, Mustafa Dicle University - Faculty of Medicine - Emergency Medicine Department, Turkey , Durgun, Hasan Mansur Dicle University - Faculty of Medicine - Emergency Medicine Department, Turkey , Dursun, Recep Dicle University - Faculty of Medicine - Emergency Medicine Department, Turkey , Gündüzalp, Ahmet Dicle University - Faculty of Medicine - Emergency Medicine Department, Turkey , İpek, Mustafa Dicle University - Faculty of Medicine - Emergency Medicine Department, Turkey , Güloğlu, Cahfer Dicle University - Faculty of Medicine - Emergency Medicine Department, Turkey
Abstract :
Objective: In the present study, determination of symptoms, clinical characteristics, prevalence and recovery rates was aimed in patients who applied to the emergency service and diagnosed with hypernatremia.Methods: Patients who applied to Dicle University Medical School Emergency Service during January 2013-December 2014 and whose serum Na 148 mEq/L were included in the study. The study was conducted retrospectively.Results: Hypernatremia prevalence was determined as 0.21% in the cases who applied to the emergency service. The average age in all patients was 69±22 and the median age was 72 years. The average hospitalization period was 13.3±10.9 days. The mortality rate was 75.7% and male gender domination (56%) was determined in patients who developed mortality. When mortality and recovery groups were compared statistically; significant difference was determined (p 0.05) in terms of hospitalization period, glucose, urea, creatinine and calcium averages. The complaints of our patients who applied to the emergency service were changes in consciousness (92.7%), oral intake disorder (83.4%) and fever (48.6%) based on frequency order. The accompanying comorbid states were cerebrovascular illness (36.9%), Dementia/Alzheimer (32.4%) and hypertension (28.9%) based on frequency order.Conclusion: Consequently, hypernatremia is a fluid-electrolyte disorder progressing with high mortality and could be observed in older patients and in patients whose oral intake is defective and who have cerebrovascular illness and dementia.
