Ortalama Hava Sıcaklığının Hastalarda Üre, Kreatinin, eGFR, Sodyum ve Potasyum Düzeylerine Etkileri

Year 2020, Volume: 3 Issue: 2, 47 - 50, 30.06.2020

Mahmut Tas , Abdullah Şen Öner Avınca Yenal Karakoç

Abstract

Amaç: Bu çalışmada acil servise başvuran hastalarda hava koşullarının mevsimsel etkilerinin elektrolit dengesizliği ile ilişkili olup olmadığını araştırmayı amaçladık.

Gereç ve Yöntemler: Çalışmaya 21 942 hasta dahil edildi ve bu hastalar iki gruba ayrıldı: Grup 1, havanın sıcak olduğu yaz aylarında acil servisimize başvuran 10953 hastadan, Grup 2 ise havanın soğuk olduğu kış aylarında acil servise başvuran 10989 hastadan oluşuyordu.

Bulgular:Gruplar elektrolitler ve eGFR açısından birbirleriyle karşılaştırılmış ve Grup 1'de üre ve kreatinin değerleri daha yüksek, Sodyum, potasyum ve eGFR değerleri aynı grupta daha düşük olarak bulunmuştur (p <0.001). Hastaların günlük sıcaklık, yaş, üre, kreatinin, sodyum, potasyum ve eGFR'deki değişim arasında bir korelasyon olup olmadığını değerlendirmek için korelasyon analizi yapıldı. Günlük sıcaklıktaki değişikliklerin üre ve kreatinin ile pozitif, yaş, sodyum, potasyum ve eGFR ile negatif korelasyon gösterdiği gözlendi.

Sonuç: Bu çalışmanın acil servise başvuran hastalarda mevsimsel sıcaklık değişikliklerinden kaynaklanan elektrolit dengesizlikleri arasındaki ilişkiyi göstermesi açısından anlamlı sonuçlar verdiğini düşünüyoruz.

Keywords

Elektrolit dengesizliği, acil servis, mevsimsel sıcaklık etkileri

Effects of Average Air Temperatures on Patients' Urea, Creatinine, eGFR, Sodium and Potassium Levels

Abstract

Aim: In this study, we aimed to investigate whether the seasonal effects of the weather conditions are associated with electrolyte imbalance in the patients presenting to the emergency department.

Material and Methods: A total of 21 942 patients were included in the study, and these patients were divided into two groups: Group 1 consisted of 10953 patients presenting to our emergency department in the summer months when the weather is warm while Group 2 comprised 10989 patients admitted to the emergency department in the winter months when the weather is cold.

Results: The groups were compared with each other in terms of electrolytes and eGFR, and urea and creatinine values were found to be higher in Group 1 while Sodium, potassium and eGFR values were recorded to be lower in the same group (p<0.001). Correlation analysis was performed in order to assess whether there was a correlation between the change in daily temperature, age, urea, creatinine, sodium, potassium, and eGFR of the patients. It was also observed that the changes in daily temperature had a positive correlation with urea and creatinine and that it had a negative correlation with the age, sodium, potassium, and eGFR.

Conclusion: We consider that this study gives significant results in terms of demonstrating the relationship between electrolyte imbalances resulting from seasonal changes of temperature in the patients presenting to the emergency department.

Keywords

Electrolyte Imbalance, emergency department, seasonal temprature effects

References

• Alberto de Lorenzo, Fernando Liano. High temperatures and nephrology: The climate change problem. Nefrologia.2017;37:492–500.
• Pfortmueller CA, Funk GC, Leichtle AB, et al. Electrolyte disorders and in-hospital mortality during prolonged heat periods: a cross-sectional analysis. PLoS One. 2014;9(3):e92150. doi: 10.1371/journal.pone.0092150
• Bagshaw SM, Laupland KB, Doig CJ, et al. Prognosis for long-term survival and renal recovery in critically ill patients with severe acute renal failure: a population-based study. Crit Care. 2005;9(6):R700–R709. doi:10.1186/cc3879
• Basu R. High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008. Environ Health. 2009;8:40. doi:10.1186/1476-069X-8-40
• Gasparrini A, Guo Y, Hashizume M, et al. Mortality risk attributable to high and low ambient temperature: a multicountry observational study. Lancet. 2015;386(9991):369–375. doi:10.1016/S0140-6736(14)62114-0
• Fouillet A, Rey G, Laurent F, et al. Excess mortality related to the August 2003 heat wave in France. Int Arch Occup Environ Health. 2006;80(1):16–24. doi:10.1007/s00420-006-0089-4. Conti S, Masocco M, Meli P, et al. General and specific mortality among the elderly during the 2003 heat wave in Genoa (Italy). Environ Res.2007; 103:267–74.
• Kovats RS, Kristie LE. Heat waves and public health in Europe.Eur J Public Health.2006 Dec;16(6):592-9.
• Flynn A, McGreevy C, Mulkerrin EC. Why do older patients die in a heatwave? QJM: An International Journal of Medicine, 2005;98(3):227–9. https://doi.org/10.1093/qjmed/hci025
• 1Seyfullah Çelik, Erdoğan Bölük, Ali İhsan Akbaş, Aziz Deniz. Meteoroloji Genel Müdürlüğü. Erişim: https://www.mgm.gov.tr/FILES/genel/makale/iklimdegisiyor.pdf. Updated March 03, 2020. Accessed March 03, 2020.
• Sankoff J. Heat illnesses: a hot topic in the setting of global climate change. Aust Fam Physician. 2015;44(1-2):22-26.
• Hansen AL, Bi P, Ryan P, et al. The effect of heatwaves on hospital admissions for renal disease in a temperate city of Australia. Int J Epidemiol.2008;37:1359–65.
• Dematte JE, O'Mara K, Buescher J, et al. Near-Fatal Heat Stroke during the 1995 Heat Wave in Chicago. Ann Intern Med. 1998;129:173–181. doi: https://doi.org/10.7326/0003-4819-129-3-199808010-00001
• Chen WT, Lin CH, Hsieh MH, et al.Stress induced cardiomyopathy caused by heat stroke. AnnEmerg Med. 2012; 60:63–6.
• Masugata H, Senda S, Inukai M, et al. Seasonal variation in estimated glomerular filtration rate based on serum creatinine levels in hypertensive patients. Tohoku J Exp Med. 2011; 224:137–42.
• Ranucci M, Castelvecchio S, La Rovere MT. Renal function changes and seasonal temperature in patients undergoing cardiac surgery. Chronobiol Int. 2014;31:175–81. Zhao Q, Yu S, Huang H, et al. The seasonal variation in hospitalizations due to chronic systolic heart failure correlates with blood sodium levels and cardiac function. Exp Clin Cardiol. 2013; 18:77–80.