A cerebrole is a patient with a neurological deficit of central origin; these patients\nvery often present disorders of the ion concentration, hence the need\nfor hospitalization in intensive care. The aim of our study was to study hydro-\nelectrolyte disorders in brain-damaged patients, to describe the clinical\naspects, to identify the contributing factors and to determine the prognosis of\nthese patients in the intensive care unit of gabriel touré teaching hospital.\nMaterial and Methods: It was a prospective cross-sectional study, descriptive\nof a period of 11 months going from June 2015 to April 2016 in the intensive\ncare unit of CHU Gabriel TOURE we included all the cerebral patients admitted\nin intensive care in which hydro-ionic disorders have detected on arrival\nor during hospitalization. Data were collected through transfer sheets, a\nsurvey sheet and medical records. Data entry and analysis were done respectively\non SPSS software (version 19) and Microsoft Word Starter 2010 software.\nResults: During our study, out of 450 hospitalization patients, we identified\n110 brain-damaged patients and 75 patients were retained in our study,\ni.e. a prevalence of 16.6%. Male was predominant with 72% with a sex ratio of\n2.5 the age group 20-50 years was majority with 45.3%, the average age\nwas 38.49 years. The majority of patients (58.7%) were admitted from the\nemergency department. The most common reason for admission was impairment\nof consciousness in 94.7% (Table 1) of cases and the Glasgow admission score was less than or equal to 8 in 58.7% (Table 1) of patients. Hydroelectrolyte disturbances were present in 93.3% of patients on admission.\nHyponatremia was the most common disorder with 56% (42 cases). Followed\nby hyperkalaemia 10.7% (8 cases), hypernatremia 9.3% (7 cases), at hypocalcemia\n9.3% (7 cases), associated disorders 8% (6 cases). Brain CT was performed\nin 52% of the patients. In our study, malaria was the most common\netiology of ionic disorders with 36%. Of the patients who died, 80% had developed\nhyponatremia after 5 days in hospital, and the overall lethality was\n73.3%. Conclusion: Hydro-electrolyte disorders are frequent in the intensive\ncare setting and their management must be rapid in order to reduce morbidity\nand mortality.
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