Electrolyte Imbalance
Conditions
Keywords
Electrolytes, Egyptian
Brief summary
All selected individuals will be subjected to the following: 1. Full medical history taking 2. Full clinical examination, APACHE II score on admission 3. Electrolytes panel daily on ICU admission 4. Estimate the duration of stay at ICU Also all selected individuals will be sectioned into groups regarding sites of collection (surgical ICU, CCU and medical ICU). All collected individuals will be sectioned regarding electrolytes imbalance into mild, moderate and severe groups
Detailed description
Study Procedures: All selected individuals will be suffering from electrolyte imbalance (EI) with the following data will be obtained: o Measurements: 1. Demographic data: age - gender - BMI - electrolytes data on ICU admission 2. Vital data: heart rate - respiratory rate - blood pressure measurement - Oxygen saturation - Urinary output - Temp +/- CVP measurement. 3. Lab.: CBC - Kidney function tests - liver function tests - ABG - levels of serum sodium, potassium, magnesium, phosphorus, ionized calcium and chloride, with maximum 5 mm blood sampling per day. Serum-sodium levels will be corrected for serum-glucose by lowering the sodium concentration by 2.4 mmol/L for every 100 mg/dl increase in glucose. Corrected Sodium = Measured sodium + 0.016 (Serum glucose - 100) A correction formula was also used to calculate albumin-corrected calcium levels (mmol/L) Corrected Calcium = (0.8 (Normal Albumin - Pt's Albumin)) + Serum Ca 4. APACHE II score 5. Comorbidities 6. Complications: AKI- Acute myocardial infarction 7. Duration of ICU stay 8. Duration of hospital stay 9. Outcome (regarding eventual complications: AKI- Acute myocardial infarction)
Interventions
OTHERelectrolytes - serum blood samples
CBC - Kidney function tests - liver function tests - ABG - levels of serum sodium, potassium, magnesium, phosphorus, ionized calcium and chloride, with maximum 5 mm blood sampling per day
Sponsors
Ain Shams University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
\- All patients admitted to medical ICU, surgical ICU and CCU suffering from electrolyte imbalance (EI) over 18 years with the comorbid conditions : 1. Hypertension 2. Heart failure 3. Chronic chest diseases 4. Cancers 5. Chronic kidney disease 6. Diabetes mellitus 7. Cardiac dysrhythmias 8. Pneumonia 9. Sepsis 10. Dehydration 11. Critical bones fractures
Exclusion criteria
* Patients with 1. Age less than 18 year old 2. Patient or his 1st degree relatives refuse to participate 3. Patients without electrolytes data 4. Current smoking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| impact of electrolytes imbalances for general health status | 1 year | Laboratory: levels of serum sodium mmol/L, potassium mmol/L, magnesium mg/dl, phosphorus mg/dl, ionized calcium mmol/L and chloride mmol/L, with maximum 5 mm blood sampling per day. Serum-sodium levels will be corrected for serum-glucose by lowering the sodium concentration by 2.4 mmol/L for every 100 mg/dl increase in glucose. Corrected Sodium = Measured sodium + 0.016 (Serum glucose - 100). A correction formula was also used to calculate albumin-corrected calcium levels (mmol/L). Corrected Calcium = (0.8 (Normal Albumin - Pt's Albumin)) + Serum Ca |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| impact of electrolytes imbalances for hospital stay | 1 year | calculation of hospital admission days and correlations with records of serum electrolytes results per admission |
Countries
Egypt
Outcome results
None listed