Hastaneye başvuru sırasında elektrolit değerleri COVID-19 hastalarını nasıl etkiler?

Year 2022, Volume: 6 Issue: 1, 1 - 6, 28.02.2022

Kübra Aydın Bahat Meral Meşe

https://doi.org/10.33716/bmedj.907531

Abstract

Amaç: COVID-19 hastalığı, yaşamı tehdit etmektedir. Şiddetli hastalık seyrini ön görmek, hastalık takibinde önemlidir. Çalışmamızda elektrolit bozukluklarının COVID-19 nedeniyle hastaneye yatırılan hastaların klinik seyrine etkisini değerlendirmeyi amaçladık. Materyal ve metod: COVID-19 tanısı alan ve 11.03.2020-30.05.2020 tarihleri arasında yatarak tedavi gören hastalar çalışmaya alındı. Demografik özellikler, komorbiditeler, semptomlar, klinik seyir, laboratuvar parametreleri ve tedaviler kaydedildi. Sonuç: Çalışmaya 70'i (% 54) kadın 130 COVID-19 hastası dahil edildi. Ortalama yaş 56.6 ± 16.4 yıldı. En sık görülen semptom öksürüktü (% 57). En sık eşlik eden hastalık hipertansiyondu (% 45). Hastaların% 68'inde hiponatremi ve% 29'unda hipokalsemi vardı. Hastaların% 95'i tam iyileşme ile taburcu edildi, % 5'i öldü.Oksijen ihtiyacı ile ileri yaş, erkek cinsiyet, diabetes mellitus varlığı, kardiyovasküler hastalık, göğüs tomografisinde bilateral tutulum, lenfopeni, CRP, düşük kalsiyum seviyesi, hipokalsemi ve sekonder enfeksiyon arasında anlamlı bir ilişki vardı (sırasyla p = 0.024, p= 0,001, p = 0,030, p =0,045, p = 0,002, p = 0,010, p = 0,000, p = 0,022, p = 0,048, p = 0,001). Yoğun bakım ihtiyacı, erkek cinsiyet, düşük kalsiyum seviyesi, hiponatremi ve ikincil enfeksiyon varlığı arasında anlamlı bir ilişki vardı. (sırasıyla, p = 0,045, p = 0,023, p = 0,011 p = 0,001). Hastanede kalış süresi ile düşük kalsiyum seviyesi ve düşük sodyum seviyesi arasında anlamlı ilişki vardı (p = 0,026, p = 0,022). Tartışma: COVID-19'un şiddeti, düşük serum sodyum ve kalsiyum konsantrasyonları ile ilişkili görünmektedir, COVID-19 hastalarının takibinde düzenli elektrolit takibi faydalı olabilir.

Keywords

elektrolit,, covıd- 19, oksijen desteği

Supporting Institution

yoktur

How electrolyte values affect COVID-19 patients at the time of application to the hospital?

Abstract

Aim: COVID-19 disease is life threatening. we aimed to evaluated the effect of electrolyte disturbances on the course of COVID-19 disease. Material and methods: Patients hospitalized with the diagnosis of COVID-19 were included in the study. Demographic characteristics, comorbidities, symptoms, clinical course, and laboratory parameters were recorded. Results: Totally 130 COVID-19 patients, 70 (54%) of whom were female, were included in the study. The mean age was 56.6 ± 16.4 years. The most common symptom was cough (57%) and the accompanying disease hypertension (45%). 68% of the patients had hyponatremia and 29%
had hypocalcemia. 95% of the patients were discharged. 5% died. There was a relationship between the need for oxygen and advanced age, male gender, presence of diabetes mellitus, cardiovascular disease, bilateral involvement in chest CT, lymphopenia, CRP, low calcium level, hypocalcemia, and secondary infection (p = 0.024., p= 0.001, p = 0.030, p = 0.045, p = 0.002, p =0.010, p = 0.000, p = 0.022, p = 0.048, p = 0.001, respectively). There was a relationship between the need for intensive care, male gender, low calcium level, hyponatremia conclusion the presence of secondary infection. (respectively, p = 0.045, p = 0.023, p = 0.011, p = 0.001). There was a correlation between the duration of hospitalization and low calcium level and low sodium level (p = 0.026, p = 0.022). Conclusion: The severity of COVID-19 appears to be associated with
low serum sodium and calcium concentrations, and regular electrolyte monitoring can be useful in follow-up.

Keywords

COVID-19, electrolyte, oxygen support

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