Assessment the relationship between sodium and potassium, serum level in Admission time with clinical outcome in head trauma patients

Traumatic brain injury is the second leading cause of death in Iran. Understanding the factors affecting the clinical outcome of these patients can improve the therapeutic outcomes.

The aim of this study was to investigate the relationship between serum sodium and potassium admission time and clinical outcomes in traumatic patients.

This study is a descriptive-analytical study performed in the intensive care unit of Shahid Rajaee hospital in Qazvin. 70 mechanically ventilated headache patients who met the inclusion criteria were selected by convenience sampling. Patients were divided into two groups: hyponatremia (sodium <135) and normonatremia (sodium ≥135) and potassium level on the day of admission were divided into two groups: hypokalemia (potassium< 3.5) and normokalemia (3.5≥ potassium) . Patients in hypoatremia group were compared with normonatremia group and patients in hypokalmia group with normokalmic group.

There was significant difference between the two groups of sodium  in successful weaning (p <0.05), but, There was no significant difference in endotracheal tube extubation, length of hospital stay, duration of mechanical ventilation, and mortality rate (p> 0/05). There was a significant difference between the two groups of potassium in successful weaning and mortality rate (p> 0.05). There was no significant difference in endotracheal tube extubation, duration of mechanical ventilation, length of hospital stay (p> 0.05).

Serum levels of potassium and sodium affect the clinical outcome of head trauma patients.