HYPONATREMIA IN SPONTANEOUS SUBARACHNOID HEMORRHAGE PATIENTS: PREVALENCE AND IMPACT ON DURATION OF HOSPITAL STAY
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Introduction: This cross-sectional study aimed to investigate the prevalence of hyponatremia and its impact of hyponatremia on the length of hospital stay in subarachnoid hemorrhage patients (SAH) in the local population. Methodology: The study was conducted at the Department of Neurology, Lady Reading Hospital, Peshawar, for 1 year, from 12/2/2022 to 11/2/2023. The sample size was 90, and consecutive sampling was used to select the study participants. The inclusion criteria were patients aged between 20 and 70 years with SAH, while the exclusion criteria were patients with confounding conditions. Results: The study found a high prevalence of hyponatremia (42%) in SAH patients, and it was associated with longer hospital stays 8.2 days (SD=3.5). The difference in mean hospital stay between patients with and without hyponatremia was statistically significant (t=3.2, p0.002). Discussion: These findings emphasize the need for early detection and management of hyponatremia in SAH patients to prevent adverse outcomes and reduce the psychosocial and financial burden on patients and their families. The study highlights the importance of generating local statistics on sodium imbalance in SAH and informing policy recommendations for better and early management of this challenging neurological emergency. Conclusion: In conclusion, this study highlights the high prevalence of hyponatremia in SAH patients and its association with prolonged hospital stay. Early detection and management of hyponatremia in SAH patients should be prioritized to improve outcomes and reduce the burden on patients and their families.
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