Hospital Practices and Research

Hyponatremia in Moderate and Severe Traumatic Brain Injury

Document Type : Original Article

Authors

Sajad Parvar 1
Mohammad Alahyari 1
Mehdi Mahmoodkhani 2
Amir Mahabadi 3

1 Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Neurosurgery, Isfahan University of Medical Sciences, Isfahan, Isfahan, Iran

3 Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

https://doi.org/10.30491/hpr.2024.442487.1418
Abstract
Background: Sodium disorders are one of the most important electrolyte disorders among brain trauma patients.
Objectives: The purpose of this study was to determine the frequency of hyponatremia in patients with moderate and severe brain trauma and its relationship with disease prognosis.
Methods: This descriptive-cross-sectional and prospective study was conducted on brain trauma patients visiting Kashani Hospital in Isfahan city in 2023. The obtained data was analyzed by SPSS 24.
Results: Out of the 54 examined (23 severe TBI and 31 moderate TBI) patients, hypernatremia was observed in seven cases (13%), and hyponatremia was observed in 23 cases (42.7%). Hyponatremia on the first day had a significant relationship with the bad prognosis of the disease. In addition, a significant relationship was observed between the type of imaging findings and GOS, so that people who had ICH imaging findings were associated with a poorer prognosis p <0.05.
Conclusion: On the first day, hyponatremia had a significant prevalence in moderate and severe brain trauma patients, which was associated with a bad prognosis of the disease, and this relationship is not dependent on factors such as age, gender, and cause of trauma.

Keywords

Hyponatremia
Glasgow Outcome Scale
Brain Trauma
Traumatic Brain Injury
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Hospital Practices and Research
Volume 8, Issue 3 - Serial Number 31
Summer 2023
Pages 315-318

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