Health Condition 1: null- patients diagnosed as acute encephalitic syndrome. no comorbidities like uncontrol hypertension, liver failure renal failure, pregnancy, lactation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients with fever and altered sensorium within 10 days of their illness.
Exclusion criteria
Exclusion criteria: children <15years, pregnant and lactating women, malaria, septic, fungal and carcinomatous meningitis, head injury, stroke, tumors, malignancy, chronic renal failure, hepatic failure, Heart failure, Other secondary causes of hyponatremia (drugs, diuretics).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| No of days required to correct sodium to 135 meq/L.Timepoint: 1 month | — |
Secondary
| Measure | Time frame |
|---|---|
| Dose of fludrocortisone required to reach primary outcome. No. of patients developing intolerance to fludrocortisone (hypertension, hypokalemia). Seizures due to hyponatremia. Disability at discharge, 3 and 6 months based on modified Barthel index and m RS score. Mortality at 28 days, 3 months and 6 months. Residual deficits in terms of seizures, cognitive, cranial nerve and motor deficits at the end of 6 months Timepoint: 1 month | — |
Countries
India
Contacts
Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS)