Dyselectrolytaemia in Acute Stroke Patients, A Study of Hundred Cases in Holy Family Red Crescent Medical College Hospital

Introduction: Stroke is a growing public health concern in low- and middle-income countries. There are many studies on stroke, its associated conditions, and its effect on stroke patients’ outcomes, but few studies on dyselectrolytaemia in stroke patients have been done in our country. This study aimed to highlight the pattern and correlation of dyselectrolytaemia in acute stroke patients of a tertiary care hospital. Methods: This cross-sectional study was conducted in the Department of Medicine, Holy Family Red Crescent Medical College Hospital, from January, 2016 to June, 2016. A total of 100 patients with stroke were selected as study subjects as per inclusion and exclusion criteria. Statistical analyses were carried out by using the Statistical Package for Social Sciences version 20.0 for Windows. The mean values were calculated for continuous variables. The quantitative observations were indicated by frequencies and percentages. The chi-square test with Yates correction was used to analyze the categorical variables. Student t-test was used for continuous variables. P values <0.05 were considered statistically significant. Result: In this study, 31 (31.0%) patients had dyselectrolytaemia. This study shows serum electrolytes of the study patients, it was observed that 17(17.0%) patients had hyponatremia: serum sodium level (<135 mmol/I), 13(13.0%) patients had hypokalaemia serum potassium (<3.5 mmol/l), 16(16.0%) patients had hypochloraemia serum Chloride level (<96 mmol/l) and 11(11.0%) patients had low bicarbonate level (< 24 mmol/I). Conclusion: This study highlights the prevalence of dyselectrolytaemia in acute stroke patients. Among the 100 patients studied, 17% experienced hyponatremia, 13% had hypokalaemia, 16% exhibited hypochloraemia, and 11% had low bicarbonate levels. These findings highlight the importance of routine electrolyte monitoring and prompt management in acute stroke care to prevent complications and improve patient outcomes.