Study of Electrolyte Abnormality in Acute Stroke
Annals of International medical and Dental Research
Among all neurologic diseases of adult, stroke ranks first. There are many studies on stroke, but few studies on electrolytes disturbance have been done in our country, even outside. Aims: The aim of the study was to find out the electrolyte disturbance in acute stroke, to compare serum sodium, potassium level between patients of stroke & to compare the outcome with normal and abnormal initial electrolytes level. Methods: It was an observational hospital based study consisted of 100 patients
... of 100 patients that meet the inclusion criteria. Data was obtained from medical records. Results: Sodium disturbances was 37% and potassium disturbances was 33%. 63.83% hemorrhagic patients had dyselectrolytemia & 47.17% ischemic patients had dyselectrolytemia. Without any significant difference (p>0.05). 33% of all patients had hyponatraemia which was most common among hemorrhagic patients (20%) but p value was not significant (p>0.05). Hypokalemia was most common among hemorrhagic patients (20%) and p value was significant (p<0.05). Patients who had dyselectrolytemia, 52.73% had poor outcome and p value was significant (p=.0004). Out of 33 patient with hyponatremia with stroke, 15 died with significant p value (p=0.0003) and out of 31 patient with hypokalaemia with stroke, 13 died and p value was statististically significant (p=0.0043). Conclusion: This study reveals that in haemorrhagic stroke, the incidence of electrolytes imbalance was more than ischaemic and which were mostly hyponatraemia and hypokalaemia. Electrolyte imbalance may adversely affect outcome of stroke.