Geriatrik Hasta Gruplarında Hava Sıcaklığı ile Üre, Kreatin, EGFR, Sodyum, Potasyum Düzeyleri Arasındaki İlişki
Abstract
Amaç: Bu çalışmada acil servislere başvuran geriatrik hasta popülasyonunda hava sıcaklığındaki değişikliklerin elektrolit dengesizliği ve böbrek fonksiyon bozukluğu ile ilişkili olup olmadığını araştırmayı amaçladık.
Gereç ve Yöntemler: Çalışmaya 65 yaş ve üstü 29,225 hasta dahil edildi ve bu hastalar mevsimlere göre dört gruba ayrıldı. Hastaların yaşlarındaki artışa bağlı olarak elektrolit dengesizliğinin gelişip gelişmeyeceğini analiz etmek için hastalar yaş aralığı açısından 3 gruba ayrıldı.
Bulgular: Mevsimsel gruplar üre, kreatinin ve eGFR açısından karşılaştırıldığında, sıcaklık değerlerinin yüksek olduğu yaz aylarında üre ve kreatinin değerleri istatistiksel olarak daha yüksek, sodyum, potasyum ve eGFR değerlerinin düşük olduğu tespit edildi (p <0.001 ). genç-yaşlı, orta-yaşlı ve en yaşlı-yaşlı gruplarında plazma sodyum ile mevsimler arasındaki ilişkinin gruplandırılmış yaşlara göre değerlendirildiğinde istatistiksel olarak anlamlı olduğu yorumu (Tüm P <0,001). Aylık sıcaklık değerlerine göre yapılan değerlendirmede, hiponatremi gelişme hızının Temmuz ayında daha yüksek düzeyde olduğu görüldü (p <0,001)
Sonuçlar: Sonuç olarak, çalışmamızda acil servise başvuran hastalarda sıcaklık değişimlerine bağlı olarak elektrolit değişikliklerinin oluşabileceğini fark ettik.
References
- American College of Emergency Physicians; American Geriatrics Society; Emergency Nurses Association; Society for Academic Emergency Medicine; Geriatric Emergency Department Guidelines Task Force. Geriatric emergency department guidelines. Ann Emerg Med. 2014 May;63(5):e7-25. doi: 10.1016/j.annemergmed.2014.02.008.
- Ke YT, Peng AC, Shu YM, et al. Emergency geriatric assessment: A novel comprehensive screen tool for geriatric patients in the emergency department. Am J Emerg Med. 2018 Jan;36(1):143-146. doi: 10.1016/j.ajem.2017.07.008.
- de Lorenzo A, Liano A. High temperatures and nephrology: The climate change problem. Nefrologia.2017;37:492–500. http://dx.doi.org/10.1016/j.nefro.2016.12.008
- Bagshaw SM, Laupland KB, Doig CJ, et al. Prognosis for long term survival and renal recovery in critically ill patients with severe acute renal failure: a population based study. Crit Care. 2005;9(6):R700-9. Epub 2005 Oct 25. doi:10.1186/cc3879.
- Basu R. High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008. Environ Health. 2009 Sep 16; 8:40. doi: 10.1186/1476-069X-8-40.
- Gasparrini A, Guo Y, Hashizume M, et al. Mortality risk attributable to high and low ambient temperature: a multicountry observational study. Lancet. 2015 Jul 25;386(9991):369-75. doi: 10.1016/S0140-6736(14)62114-0.
- http://www.tuik.gov.tr/UstMenu.do?metod=temelist . 15 September 2018
- Sankoff J. Heat illnesses: a hot topic in the setting of global climate change. Aust Fam Physician. 2015; 44:22–6.
- Flynn A, McGreevy C, Mulkerrin EC. Why do older patients die in a heatwave? QJM. 2005 Mar;98(3):227-9. doi: 10.1093/qjmed/hci025.
- Conti S, Masocco M, Meli P, et al. General and specific mortality among the elderly during the 2003 heat wave in Genoa (Italy). Environ Res.2007;103:267–74. doi: 10.1016/j.envres.2006.06.003
- Hansen AL, Bi P, Ryan P, et al. The effect of heat waves on hospital admissions for renal disease in a temperate city of Australia. Int J Epidemiol.2008;37:1359–65. doi: 10.1093/ije/dyn165
- Malisova O, Bountziouka V, Panagiotakos D., et al. Evaluation of seasonality on total water intake, water loss and water balance in the general population in Greece. J Hum Nutr Diet Jul 2013; 26: pp. 90-96. doi: 10.1111/jhn.12077
- Pfortmueller CA, Funk GC, Leichtle AB, et al. Electrolyte disorders and in-hospital mortality during prolonged heat periods: a cross-sectional analysis. PLoS One. 2014 Mar 20;9(3):e92150. doi: 10.1371/journal.pone.0092150.
- Mulkerrin E, Epstein FH, Clark BA. Aldosterone responses to hyperkalemia in healthy elderly humans. J Am Soc Nephrol. 1995 Nov;6(5):1459-62. doi: 10.1681/ASN.V651459.
- Zhao Q, Yu S, Huang H, et al. The seasonal variation in hospitalizations due to chronic systolic heart failure correlates with blood sodium levels and cardiac function. Exp Clin Cardiol. 2013; 18:77–80.
- Giordano M, Ciarambino T, Castellino P, et al. Seasonal variations of hyponatremia in the emergency department: Age-related changes. Am J Emerg Med. 2017 May;35(5):749-752. doi: 10.1016/j.ajem.2017.01.018.
- Åström DO, Forsberg B, Rocklöv J. Heat wave impact on morbidity and mortality in the elderly population: a review of recent studies. Maturitas. 2011 Jun;69(2):99-105. doi: 10.1016/j.maturitas.2011.03.008.
- Arbuthnott KG, Hajat S. The health effects of hotter summers and heat waves in the population of the United Kingdom: a review of the evidence. Environ Health. 2017 Dec 5;16(Suppl 1):119. doi: 10.1186/s12940-017- 0322-5.
Relationship Between Air Temperature and Urea, Creatin, EGFR, Sodium, Potassium Levels in Geriatric Patient Groups
Abstract
Aim: In this study, we have aimed to investigate whether the changes in air temperature are related to electrolyte imbalance and renal dysfunction in geriatric patient population admitted to emergency departments.
Material and Methods: The study included 29,225 patients aged 65 and over, and these patients were divided into four groups based on the seasons. The patients were divided into 3 groups in terms of the age range in order to analyze whether the electrolyte imbalance would develop as a result of the increase in patients' ages.
Results: When the seasonal groups were compared in terms of urea, creatinine, and eGFR, urea and creatinine values were found to be statistically higher in summer when temperature values were
high while sodium, potassium, and eGFR values were detected to be low (p <0.001). interpretation that the relationship between plasma sodium and seasons was statistically significant in the young-old, middle-old and oldest-old groups when it was evaluated according to the grouped ages (All P <0.001). In the evaluation
made on the basis of monthly temperature values, it was observed that the development rate of hyponatremia was at a higher level in July (p <0.001).
Conclusions: In conclusion, we noticed in our study that electrolyte changes may occur due to temperature changes in the patients admitted to the emergency department.
References
- American College of Emergency Physicians; American Geriatrics Society; Emergency Nurses Association; Society for Academic Emergency Medicine; Geriatric Emergency Department Guidelines Task Force. Geriatric emergency department guidelines. Ann Emerg Med. 2014 May;63(5):e7-25. doi: 10.1016/j.annemergmed.2014.02.008.
- Ke YT, Peng AC, Shu YM, et al. Emergency geriatric assessment: A novel comprehensive screen tool for geriatric patients in the emergency department. Am J Emerg Med. 2018 Jan;36(1):143-146. doi: 10.1016/j.ajem.2017.07.008.
- de Lorenzo A, Liano A. High temperatures and nephrology: The climate change problem. Nefrologia.2017;37:492–500. http://dx.doi.org/10.1016/j.nefro.2016.12.008
- Bagshaw SM, Laupland KB, Doig CJ, et al. Prognosis for long term survival and renal recovery in critically ill patients with severe acute renal failure: a population based study. Crit Care. 2005;9(6):R700-9. Epub 2005 Oct 25. doi:10.1186/cc3879.
- Basu R. High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008. Environ Health. 2009 Sep 16; 8:40. doi: 10.1186/1476-069X-8-40.
- Gasparrini A, Guo Y, Hashizume M, et al. Mortality risk attributable to high and low ambient temperature: a multicountry observational study. Lancet. 2015 Jul 25;386(9991):369-75. doi: 10.1016/S0140-6736(14)62114-0.
- http://www.tuik.gov.tr/UstMenu.do?metod=temelist . 15 September 2018
- Sankoff J. Heat illnesses: a hot topic in the setting of global climate change. Aust Fam Physician. 2015; 44:22–6.
- Flynn A, McGreevy C, Mulkerrin EC. Why do older patients die in a heatwave? QJM. 2005 Mar;98(3):227-9. doi: 10.1093/qjmed/hci025.
- Conti S, Masocco M, Meli P, et al. General and specific mortality among the elderly during the 2003 heat wave in Genoa (Italy). Environ Res.2007;103:267–74. doi: 10.1016/j.envres.2006.06.003
- Hansen AL, Bi P, Ryan P, et al. The effect of heat waves on hospital admissions for renal disease in a temperate city of Australia. Int J Epidemiol.2008;37:1359–65. doi: 10.1093/ije/dyn165
- Malisova O, Bountziouka V, Panagiotakos D., et al. Evaluation of seasonality on total water intake, water loss and water balance in the general population in Greece. J Hum Nutr Diet Jul 2013; 26: pp. 90-96. doi: 10.1111/jhn.12077
- Pfortmueller CA, Funk GC, Leichtle AB, et al. Electrolyte disorders and in-hospital mortality during prolonged heat periods: a cross-sectional analysis. PLoS One. 2014 Mar 20;9(3):e92150. doi: 10.1371/journal.pone.0092150.
- Mulkerrin E, Epstein FH, Clark BA. Aldosterone responses to hyperkalemia in healthy elderly humans. J Am Soc Nephrol. 1995 Nov;6(5):1459-62. doi: 10.1681/ASN.V651459.
- Zhao Q, Yu S, Huang H, et al. The seasonal variation in hospitalizations due to chronic systolic heart failure correlates with blood sodium levels and cardiac function. Exp Clin Cardiol. 2013; 18:77–80.
- Giordano M, Ciarambino T, Castellino P, et al. Seasonal variations of hyponatremia in the emergency department: Age-related changes. Am J Emerg Med. 2017 May;35(5):749-752. doi: 10.1016/j.ajem.2017.01.018.
- Åström DO, Forsberg B, Rocklöv J. Heat wave impact on morbidity and mortality in the elderly population: a review of recent studies. Maturitas. 2011 Jun;69(2):99-105. doi: 10.1016/j.maturitas.2011.03.008.
- Arbuthnott KG, Hajat S. The health effects of hotter summers and heat waves in the population of the United Kingdom: a review of the evidence. Environ Health. 2017 Dec 5;16(Suppl 1):119. doi: 10.1186/s12940-017- 0322-5.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Original Articles |
| Authors | |
| Publication Date | June 29, 2021 |
| Published in Issue | Year 2021 Volume: 4 Issue: 2 |
