A Clinical Assessment of Sodium Imbalance Induced Delirium in Critical Care Units in A Tertiary Care Hospital

Revathi. N*, Sai Sriram. K, Vasanth Kumar. V, Dr. Nihar Rajan Das, Dr. Swathi Reddy
Avanthi Institute of Pharmaceutical Sciences, Hayathnagar.

A B S T R A C T
Delirium is very common within the intensive care unit (ICU), particularly amongst mechanically ventilated patients. The medical practitioner ought to take into account delirium, or acute central nervous system pathology, as the brain’s type of “organ pathology.” The third leading cause is known to increase the mortality rate in intensive care units. The study design implemented is a prospective observational cohort study, to assess the risk of developing delirium in sodium and fluid imbalance patients. The study population included 200 critically ill patients admitted to the various departments of critical care. The study was conducted for six months at Gleneagles Aware Global Hospital, with prior ethical committee permission. The assessment for delirium was done using the scales RASS, CAM-ICU, and NEECHAM. Data regarding serum sodium and delirium specificity was correlated to assess the epidemiology. Statistics were calculated using SPSS version and Microsoft Excel version 2016 16.0.6741.2048. The correlation between delirium and sodium imbalance was found to be clinically significant with P-value 0.05. The sensitivity was found to be 0.57 and specificity 0.48 for delirium induced due to sodium imbalance. The assessment of delirium is crucial in critical care as it not only increases the duration of hospitalization, decreases response to therapy but also increases mortality.
Keywords: Delirium, Pathology, Patient, Sodium imbalance