Acid-Base Disorder in the Patients Visiting the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study
Introduction: An acid-base disorder is a change in the normal value of extracellular pH that may result when renal or respiratory function is abnormal or when an acid or base load overwhelms their excretory capacity. Clinical acid-base disorders are conventionally defined from the vantage point of t...
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ftdoajarticles:oai:doaj.org/article:9cc58554c4c9464889d679bf86db55ca 2024-10-20T14:08:08+00:00 Acid-Base Disorder in the Patients Visiting the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study Sudeep Yadav Suman Kumar Jha Neela Sunuwar Anu Radha Twayana 2021-08-01T00:00:00Z https://doi.org/10.31729/jnma.6744 https://doaj.org/article/9cc58554c4c9464889d679bf86db55ca EN eng Nepal Medical Association http://www.jnma.com.np/jnma/index.php/jnma/article/view/6744 https://doaj.org/toc/0028-2715 https://doaj.org/toc/1815-672X doi:10.31729/jnma.6744 https://doaj.org/article/9cc58554c4c9464889d679bf86db55ca Journal of Nepal Medical Association, Vol 59, Iss 239 (2021) acid-base disorder acidosis alkalosis mixed disorder Medicine (General) R5-920 article 2021 ftdoajarticles https://doi.org/10.31729/jnma.6744 2024-09-25T15:39:11Z Introduction: An acid-base disorder is a change in the normal value of extracellular pH that may result when renal or respiratory function is abnormal or when an acid or base load overwhelms their excretory capacity. Clinical acid-base disorders are conventionally defined from the vantage point of their impact on carbonic-acid-bicarbonate buffer system. The aim of the study is to find out the prevalence of acid-base disorder among patients visiting the emergency department of a tertiary care hospital. Methods: This is a descriptive cross-sectional study conducted among 370 patients who underwent arterial gas analysis at the emergency department of a tertiary care hospital. The study was carried out from 15th July 2016 to 15th July 2017 after receiving ethical approval from Institutional Review Committee. Convenient sampling was done. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Data were entered in Microsoft-Excel. Statistical Package for Social Sciences version 17 was used for analysis. Results: Out of 370 patients analyzed, 329 (88.91%) (84.68-91.311 at 95% Confidence Interval) had acid-base disorder. The mixed disorder was the most common finding 80 (21.6%), followed by compensated Respiratory Acidosis 56 (17.8%). The mean age group of male patients studied was 50.72±20.586 and among females, it was 49.95±20.908 Among those most common symptoms were shortness of breath 151 (40.81%) followed by vomiting 91 (24.59%). Conclusions: Most common acid-base disorder was mixed disorder presenting with prominent symptoms of shortness of breathe in non-geriatric patients wherein the geriatric patient, the most common disorder was compensated respiratory acidosis with the prominent symptom of shortness of breath. Article in Journal/Newspaper Carbonic acid Directory of Open Access Journals: DOAJ Articles Journal of Nepal Medical Association 59 239 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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acid-base disorder acidosis alkalosis mixed disorder Medicine (General) R5-920 |
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acid-base disorder acidosis alkalosis mixed disorder Medicine (General) R5-920 Sudeep Yadav Suman Kumar Jha Neela Sunuwar Anu Radha Twayana Acid-Base Disorder in the Patients Visiting the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
topic_facet |
acid-base disorder acidosis alkalosis mixed disorder Medicine (General) R5-920 |
description |
Introduction: An acid-base disorder is a change in the normal value of extracellular pH that may result when renal or respiratory function is abnormal or when an acid or base load overwhelms their excretory capacity. Clinical acid-base disorders are conventionally defined from the vantage point of their impact on carbonic-acid-bicarbonate buffer system. The aim of the study is to find out the prevalence of acid-base disorder among patients visiting the emergency department of a tertiary care hospital. Methods: This is a descriptive cross-sectional study conducted among 370 patients who underwent arterial gas analysis at the emergency department of a tertiary care hospital. The study was carried out from 15th July 2016 to 15th July 2017 after receiving ethical approval from Institutional Review Committee. Convenient sampling was done. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Data were entered in Microsoft-Excel. Statistical Package for Social Sciences version 17 was used for analysis. Results: Out of 370 patients analyzed, 329 (88.91%) (84.68-91.311 at 95% Confidence Interval) had acid-base disorder. The mixed disorder was the most common finding 80 (21.6%), followed by compensated Respiratory Acidosis 56 (17.8%). The mean age group of male patients studied was 50.72±20.586 and among females, it was 49.95±20.908 Among those most common symptoms were shortness of breath 151 (40.81%) followed by vomiting 91 (24.59%). Conclusions: Most common acid-base disorder was mixed disorder presenting with prominent symptoms of shortness of breathe in non-geriatric patients wherein the geriatric patient, the most common disorder was compensated respiratory acidosis with the prominent symptom of shortness of breath. |
format |
Article in Journal/Newspaper |
author |
Sudeep Yadav Suman Kumar Jha Neela Sunuwar Anu Radha Twayana |
author_facet |
Sudeep Yadav Suman Kumar Jha Neela Sunuwar Anu Radha Twayana |
author_sort |
Sudeep Yadav |
title |
Acid-Base Disorder in the Patients Visiting the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
title_short |
Acid-Base Disorder in the Patients Visiting the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
title_full |
Acid-Base Disorder in the Patients Visiting the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
title_fullStr |
Acid-Base Disorder in the Patients Visiting the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
title_full_unstemmed |
Acid-Base Disorder in the Patients Visiting the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
title_sort |
acid-base disorder in the patients visiting the emergency department of a tertiary care hospital: a descriptive cross-sectional study |
publisher |
Nepal Medical Association |
publishDate |
2021 |
url |
https://doi.org/10.31729/jnma.6744 https://doaj.org/article/9cc58554c4c9464889d679bf86db55ca |
genre |
Carbonic acid |
genre_facet |
Carbonic acid |
op_source |
Journal of Nepal Medical Association, Vol 59, Iss 239 (2021) |
op_relation |
http://www.jnma.com.np/jnma/index.php/jnma/article/view/6744 https://doaj.org/toc/0028-2715 https://doaj.org/toc/1815-672X doi:10.31729/jnma.6744 https://doaj.org/article/9cc58554c4c9464889d679bf86db55ca |
op_doi |
https://doi.org/10.31729/jnma.6744 |
container_title |
Journal of Nepal Medical Association |
container_volume |
59 |
container_issue |
239 |
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1813447240026423296 |