Diseases associated with electrolyte imbalance in the ED: age-related differences
Diseases associated with electrolyte imbalance in the ED: age-related differences
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DOI：
10.1016/j.ajem.2016.05.056
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发表时间：
2016-10-01
影响因子：
3.6
通讯作者：
Adinolfi, Luigi Elio
中科院分区：
文献类型：
--
作者：
Giordano, Mauro;Ciarambino, Tiziana;Adinolfi, Luigi Elio
目的：研究急诊科（ED）不同年龄段全身性疾病患者电解质失衡（EI）的发生率。方法：纳入急诊科住院患者。人群研究包括7941例患者，再分为3组：青年组(Y)、中年组（MA）和老年组(E)。结果：有13.7%的人群出现EI。低钠血症（hNa(+)）是最常见的EI(44%)，其次是低钾血症（hK(+)）（39%）、高钾血症（hK +）（13%）和高钠血症（hNa +）（4.4%）。在Y组中，EI发生率为7.1% （P< 0.05， MA和E组），而在MA组中，EI发生率为11.5%，在E组中，EI发生率为22% （P< 0.05， MA和Y组）。在Y组中，胃肠道疾病是最常见的相关疾病（24.6%；P< 0.05 vs MA和E）。在MA组中，最常见的相关疾病是当前的心血管疾病（29.7%；P< 0.05 vs Y和E）。E组常见相关疾病为心血管疾病（22.8%，P< 0.05 vs Y）和肺部疾病（16.7%，P< 0.05 vs MA和Y）。结论：在我们的研究中，13.7%的患者表现出EI，只有2%的病例没有任何相关的全身性疾病。大多数ei与其他全身性疾病有关。目前的数据还描述了不同年龄相关和疾病相关的EI流行模式，从而突出了复杂的临床情况。(C) 2016年由Elsevier Inc.出版。
Objective: The objective of the study is to investigate the prevalence of electrolyte imbalance (EI) in the emergency department (ED) with systemic diseases in different decades of life.Methods: We enrolled patients admitted to the ED. The population study included 7941 patients, subdivided in 3 groups: young group (Y), middle-aged group (MA), and elderly group (E).Results: We observed EI in 13.7% of the whole population. Hyponatremia (hNa(+)) is the most frequent EI (44%) followed by hypokalemia (hK(+)) (39%), hyperkalemia (HK+) (13%), and hypernatremia (HNa+) (4.4%). In the Y group, the EI occurred in 7.1% of all patients (Pb.05 vs MA and E), whereas in the MA group, they were shown in 11.5% of patients and in the E group in 22% of all patients group (P< .05 vs MA and Y). In the Y group, gastrointestinal diseases are the most frequently associated disease (24.6%; P< .05 vs MA and E). In the MA group, the most frequently associated disease was a current cardiovascular disease (29.7%; P< .05 vs Y and E). In the E group, the frequently associated diseases are cardiovascular (22.8%; P< .05 vs Y) and lung diseases (16.7%; P< .05 vs MA and Y).Conclusions: In our study, 13.7% of all patients showed an EI, and only 2% of cases were alone without any associated systemic disease. Most EIs are associated to other systemic diseases. The present data also depict different age-related and disease-associated prevalence patterns of EI, thus highlighting a complex clinical scenario. (C) 2016 Published by Elsevier Inc.