Geriatrik Hasta Gruplarında Hava Sıcaklığı ile Üre, Kreatin, EGFR, Sodyum, Potasyum Düzeyleri Arasındaki İlişki

Year 2021, Volume: 4 Issue: 2, 55 - 61, 29.06.2021

Mahmut Tas , Yenal Karakoç , Ömer Kaçmaz Öner Avınca , Mehmet Yıldırım

Abstract

Amaç: Bu çalışmada acil servislere başvuran geriatrik hasta popülasyonunda hava sıcaklığındaki değişikliklerin elektrolit dengesizliği ve böbrek fonksiyon bozukluğu ile ilişkili olup olmadığını araştırmayı amaçladık.

Gereç ve Yöntemler: Çalışmaya 65 yaş ve üstü 29,225 hasta dahil edildi ve bu hastalar mevsimlere göre dört gruba ayrıldı. Hastaların yaşlarındaki artışa bağlı olarak elektrolit dengesizliğinin gelişip gelişmeyeceğini analiz etmek için hastalar yaş aralığı açısından 3 gruba ayrıldı.

Bulgular: Mevsimsel gruplar üre, kreatinin ve eGFR açısından karşılaştırıldığında, sıcaklık değerlerinin yüksek olduğu yaz aylarında üre ve kreatinin değerleri istatistiksel olarak daha yüksek, sodyum, potasyum ve eGFR değerlerinin düşük olduğu tespit edildi (p <0.001 ). genç-yaşlı, orta-yaşlı ve en yaşlı-yaşlı gruplarında plazma sodyum ile mevsimler arasındaki ilişkinin gruplandırılmış yaşlara göre değerlendirildiğinde istatistiksel olarak anlamlı olduğu yorumu (Tüm P <0,001). Aylık sıcaklık değerlerine göre yapılan değerlendirmede, hiponatremi gelişme hızının Temmuz ayında daha yüksek düzeyde olduğu görüldü (p <0,001)

Sonuçlar: Sonuç olarak, çalışmamızda acil servise başvuran hastalarda sıcaklık değişimlerine bağlı olarak elektrolit değişikliklerinin oluşabileceğini fark ettik.

Keywords

Mevsimsel sıcaklık etkileri, elektrolit dengesizliği, geriatrik hasta, acil servis

Relationship Between Air Temperature and Urea, Creatin, EGFR, Sodium, Potassium Levels in Geriatric Patient Groups

Abstract

Aim: In this study, we have aimed to investigate whether the changes in air temperature are related to electrolyte imbalance and renal dysfunction in geriatric patient population admitted to emergency departments.

Material and Methods: The study included 29,225 patients aged 65 and over, and these patients were divided into four groups based on the seasons. The patients were divided into 3 groups in terms of the age range in order to analyze whether the electrolyte imbalance would develop as a result of the increase in patients' ages.

Results: When the seasonal groups were compared in terms of urea, creatinine, and eGFR, urea and creatinine values were found to be statistically higher in summer when temperature values were
high while sodium, potassium, and eGFR values were detected to be low (p <0.001). interpretation that the relationship between plasma sodium and seasons was statistically significant in the young-old, middle-old and oldest-old groups when it was evaluated according to the grouped ages (All P <0.001). In the evaluation
made on the basis of monthly temperature values, it was observed that the development rate of hyponatremia was at a higher level in July (p <0.001).

Conclusions: In conclusion, we noticed in our study that electrolyte changes may occur due to temperature changes in the patients admitted to the emergency department.

Keywords

Seasonal temperatures effects, electrolyte imbalance, geriatric patient, emergency department

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