A Cross-Sectional Study of Elderly Patients with Electrolyte Imbalance and its Relation with the Outcomes like Complications and Hospital Stay during Orthopedic Surgery
Background: Post-operative electrolyte imbalance (EI) has been found to be a marker of poor medical status and a risk factor among elderly orthopedic patients. Aims: To investigate the incidence and severity of imbalances of sodium/ potassium/ calcium/ magnesium and phosphate, and also to study it...
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Dr. Annil Mahajan
2025-07-01
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| Series: | JK Science |
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| Online Access: | https://journal.jkscience.org/index.php/JK-Science/article/view/368 |
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| author | Ashima Badyal Pallavi Mahajan Manish Singh Sanjeev Gupta |
| author_facet | Ashima Badyal Pallavi Mahajan Manish Singh Sanjeev Gupta |
| author_sort | Ashima Badyal |
| collection | DOAJ |
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Background: Post-operative electrolyte imbalance (EI) has been found to be a marker of poor medical status and a risk factor among elderly orthopedic patients.
Aims: To investigate the incidence and severity of imbalances of sodium/ potassium/ calcium/ magnesium and phosphate, and also to study its association with the outcome and duration of stay in hospital.
Material and Methods: It was a prospective cross-sectional study conducted in Department of Orthopedics and Department of Biochemistry, GMC Jammu, from January-2022 to June-2022 on 60 elderly patients, admitted in Emergency Orthopedic Wards, to determine the incidence of EI.
Results: 32 (53.33%) of patients were females, 6 (10%) were >80 years, median age was 69 ± 6.4 years. Common presentations: disorientation or confusion 20 (33.33%); nausea or vomiting 16 (26.67%). High prevalence of hyponatremia 10 (16.67%) and hypokalemia 6 (10%) was seen. The mean length of hospital stay for patients with hyponatremia/hypernatremia was 9.5 days and 5.75 days respectively, and for hypokalemia/hyperkalemia: 9.5 days and 8.2 days respectively. The mean hospital stay of the patients with EI was 6.5 ± 1.3 days, with 8 (13.33%) readmissions within 30 days from discharge.
Conclusion: EI was found to prolong length of stay and affect readmission, as well as mortality among elderly patients undergoing orthopedic surgeries.
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| format | Article |
| id | doaj-art-41b47b8742f24629bd7f4e68331b2dad |
| institution | DOAJ |
| issn | 0972-1177 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Dr. Annil Mahajan |
| record_format | Article |
| series | JK Science |
| spelling | doaj-art-41b47b8742f24629bd7f4e68331b2dad2025-08-20T03:13:07ZengDr. Annil MahajanJK Science0972-11772025-07-01273A Cross-Sectional Study of Elderly Patients with Electrolyte Imbalance and its Relation with the Outcomes like Complications and Hospital Stay during Orthopedic SurgeryAshima BadyalPallavi MahajanManish SinghSanjeev Gupta Background: Post-operative electrolyte imbalance (EI) has been found to be a marker of poor medical status and a risk factor among elderly orthopedic patients. Aims: To investigate the incidence and severity of imbalances of sodium/ potassium/ calcium/ magnesium and phosphate, and also to study its association with the outcome and duration of stay in hospital. Material and Methods: It was a prospective cross-sectional study conducted in Department of Orthopedics and Department of Biochemistry, GMC Jammu, from January-2022 to June-2022 on 60 elderly patients, admitted in Emergency Orthopedic Wards, to determine the incidence of EI. Results: 32 (53.33%) of patients were females, 6 (10%) were >80 years, median age was 69 ± 6.4 years. Common presentations: disorientation or confusion 20 (33.33%); nausea or vomiting 16 (26.67%). High prevalence of hyponatremia 10 (16.67%) and hypokalemia 6 (10%) was seen. The mean length of hospital stay for patients with hyponatremia/hypernatremia was 9.5 days and 5.75 days respectively, and for hypokalemia/hyperkalemia: 9.5 days and 8.2 days respectively. The mean hospital stay of the patients with EI was 6.5 ± 1.3 days, with 8 (13.33%) readmissions within 30 days from discharge. Conclusion: EI was found to prolong length of stay and affect readmission, as well as mortality among elderly patients undergoing orthopedic surgeries. https://journal.jkscience.org/index.php/JK-Science/article/view/368HyponatremiaHypokalemiaHypernatremiaHyperkalemiaLong Bone Fractures |
| spellingShingle | Ashima Badyal Pallavi Mahajan Manish Singh Sanjeev Gupta A Cross-Sectional Study of Elderly Patients with Electrolyte Imbalance and its Relation with the Outcomes like Complications and Hospital Stay during Orthopedic Surgery JK Science Hyponatremia Hypokalemia Hypernatremia Hyperkalemia Long Bone Fractures |
| title | A Cross-Sectional Study of Elderly Patients with Electrolyte Imbalance and its Relation with the Outcomes like Complications and Hospital Stay during Orthopedic Surgery |
| title_full | A Cross-Sectional Study of Elderly Patients with Electrolyte Imbalance and its Relation with the Outcomes like Complications and Hospital Stay during Orthopedic Surgery |
| title_fullStr | A Cross-Sectional Study of Elderly Patients with Electrolyte Imbalance and its Relation with the Outcomes like Complications and Hospital Stay during Orthopedic Surgery |
| title_full_unstemmed | A Cross-Sectional Study of Elderly Patients with Electrolyte Imbalance and its Relation with the Outcomes like Complications and Hospital Stay during Orthopedic Surgery |
| title_short | A Cross-Sectional Study of Elderly Patients with Electrolyte Imbalance and its Relation with the Outcomes like Complications and Hospital Stay during Orthopedic Surgery |
| title_sort | cross sectional study of elderly patients with electrolyte imbalance and its relation with the outcomes like complications and hospital stay during orthopedic surgery |
| topic | Hyponatremia Hypokalemia Hypernatremia Hyperkalemia Long Bone Fractures |
| url | https://journal.jkscience.org/index.php/JK-Science/article/view/368 |
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