6. The electrolytes imbalance and some associated factors in covid-19 patients at covid-19 patient treatment hospital

Pham Thi Tuyet Chinh, Nguyen Thuy Linh, Nguyen Thuy Linh, Nguyen Thi Ngoc Lan, Tran Ha An, Do Thi Minh Anh, Nguyen Thi Minh Tam

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Abstract

In this cross-sectional study, we aimed to describe the imbalance of electrolytes and some associated factors among 1061 patients with COVID-19. The proportions of patients with hyponatremia, hypokalemia, and hypochloremia were 42.2%, 16.3%, and 43.4%, respectively. There was a statistically significant difference between the severity of COVID-19 conditions and the levels of electrolyte imbalance. The odds of hyponatremia among patients with moderate COVID-19 level were 2.2 times (95%CI: 1.30 - 3.54) and 1.8 times (95%CI: 1.11 - 2.91) that of those with mild COVID-19 conditions at admission and discharge, respectively. At the first time of admission, the odds of hypochloremia was 2.1 times (95%CI: 1.28 - 3.44) higher among those with moderate COVID-19 condition compared to those with mild condition. COVID-19 patients with fever also were 2.5 times (95%CI: 1.03 - 6.12) more likely to have hyponatremia compared to those without fever. The results suggest electrolytes imbalance significantly varies in COVID-19 patients. Therefore, actions need to be taken into consideration to ensure the balance of important electrolytes and prevent further loss in the electrolytes.

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References

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