Overall population (N = 60) | Control group (N = 44) | Hyponatremia day 1–7 (N = 16) | p | |
---|---|---|---|---|
Demographic data | ||||
• Age (years) | 48 [32–60] | 48 [32–61] | 49 [22–59] | 0.627 |
• Male sex | 53 (88) | 39 (89) | 14 (88) | 0.903 |
• Weight (kg) | 76 [67–88] | 78 [69–90] | 72 [60–83] | 0.143 |
Comorbidities | ||||
• Chronic hypertension | 12 (20) | 9 (20) | 3 (19) | 0.957 |
• Diabetes mellitus | 3 (5) | 3 (7) | 0 (0) | 0.501 |
• Previous use of ACE inhibitors | 5 (8) | 3 (7) | 2 (13) | 0.876 |
• Previous use of β-blockers | 3 (5) | 2 (3) | 1 (6) | 0.927 |
Reason for admission | ||||
• Isolated TBI • Multiple trauma with TBI | 26 (43) 34 (57) | 17 (39) 27 (61) | 9 (56) 7 (44) | 0.223 0.223 |
Prognostic scores | ||||
• Initial GCS | 9 [5–14] | 10 [6–14] | 7 [4–12] | 0.213 |
• SAPS II | 45 [36–52] | 44 [36–50] | 39 [45–53] | 0.484 |
Neurosurgical procedures | ||||
• Intracranial pressure monitoring | 35 (58) | 27 (57) | 10 (63) | 0.693 |
• External CSF derivation | 16 (27) | 10 (23) | 6 (38) | 0.253 |
• Parietal craniotomy | 17 (28) | 14 (32) | 3 (19) | 0.321 |
• Craniectomy | 9 (15) | 7 (16) | 2 (13) | 0.744 |
Intracranial hypertension | 24 (40) | 14 (33) | 9 (56) | 0.097 |
Management in the ICU | ||||
• Use of mechanical ventilation | 58 (97) | 41 (95) | 16 (100) | 0.380 |
• Use of vasopressors | 56 (93) | 40 (93) | 15 (94) | 0.921 |
• Use of osmotherapy | 17 (28) | 10 (23) | 7 (44) | 0.122 |
• Use of hypothermia | 17 (28) | 10 (23) | 6 (38) | 0.274 |
• Use of barbiturates | 14 (23) | 8 (19) | 5 (31) | 0.297 |
• Use of NSAIDs | 10 (17) | 8 (19) | 2 (13) | 0.578 |
• Use of hydrocortisone | 6 (10) | 6 (14) | 0 (0) | 0.115 |
• Use of desmopressine | 4 (7) | 3 (7) | 1 (6) | 0.921 |
Mean fluid and sodium balances | ||||
• Mean fluid balance (L) | 0.8 [0.6–1.2] | 0.9 [0.5–1.2] | 0.6 [0.6–0.9] | 0.115 |
• Mean sodium balance (mmol) | 41 [− 33–104] | 41 [−7–104] | 29 [−41–100] | 0.621 |
• Loss of weight | 0 [−1–2] | 0 [−2 − + 2] | 0 [− 1–0] | 0.843 |
Outcome | ||||
• Death during the ICU stay | 7 (12) | 3 (7) | 4 (25) | 0.052 |
• Duration under ventilation | 9 [5–17] | 9 [3–17] | 10 [7–15] | 0.412 |
• ICU length of stay | 16 [11–28] | 15 [11–26] | 18 [13–24] | 0.616 |