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THE RELATIONSHIP OF HYPONATREMIA TO THE RISK OF FALL IN MODERATE GRADE ICH PATIENTS
Abstract
Background and Aims
Hyponatremia is the most common electrolyte disorder in patients with intracerebral hemorrhage (ICH) and a risk factor for in-hospital mortality. Falls are common in the first month after a stroke, causing damage, decreased activity, dependency, and fear of harm. This study aims to determine the relationship between hyponatremia and the risk of falling as assessed by the Morse Fall Scale (MFS) in ICH patients.
Methods
This cross-sectional study enrolled all moderate-grade ICH patients between September and November 2021. Patients' MFS scores and electrolyte parameters, as well as baseline characteristic data, were collected. The Spearman rank was used to assess the variables' relationship to the MFS score. SPSS 22 was used to analyze the data. The local ethics committee approved the study.
Results
The rate of hyponatremia was 68.9% among the 45 patients who met the criteria (mean age of 55.44 [±15.75], male [32; 71.1%], subcortical hemorrhage location [28; 62.2%]. The mean MFS score of the hyponatremia and non-hyponatremia groups was 60.65 (±13.58) and 52.14 (±8.48), respectively. The analysis showed that hyponatremia (r=0,306, p=0,041), and body weight (r=-0,368, p=0,013) were correlated with MFS score. Hyponatremia severity was also correlated with MFS Score (r=0.304, p=0.042).
Conclusions
Our investigation revealed that hyponatremia, alongside its severity, was correlated positively with greater fall risk as assessed by MFS in ICH patients in our population. It is considered that the greater risk of falling is attributed to various mechanisms involving gait disturbance and cognitive impairment in a such population.