Study of Electrolyte Status Inpatients with Acute Stroke and their Outcome

Background: Stroke is one of the main causes of chronic disability and mortality among the adults. Electrolyte imbalances are an important cause of morbidity and mortality in patients with acute stroke. Objectives: To find out the incidence of electrolyte abnormalities in acute stroke patients and their association with severity of acute stroke. Materials and methods: We studied the serum sodium and potassium in 80 patients with acute stroke based on clinical and radiological study. This study was an observational study conducted at biochemistry and neurosurgery department, RIMS, Ranchi, Jharkhand between June 2018 to May 2019. Data was obtained from medical records. Results: We studied the 80 patients of acute stroke out of which 66.25 %were male and 33.75 % were female.40 % patients were in between age group 61-70 years followed by 35 % were in age group 51-60 years.57.50 % patients had ischemic stroke, 40.00 % had hemorrhagic stroke and 2.50 % had subarachnoid hemorrhage.56.25 % of acute stroke patients had electrolyte disturbances.65.62 % of hemorrhagic stroke patients, 52.17 % of ischemic stroke patients had electrolyte disturbances. Conclusion: In haemorrhagic stroke, the incidence of electrolytes imbalance was more than ischaemic and which were mostly hyponatraemia and hypokalaemia. Electrolyte imbalance may adversely affect outcome of stroke.