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Impact of Water-Electrolyte Imbalance on Mortality Risk After Major Abdominal or Thoracic Surgeries
Current Issue
Volume 3, 2016
Issue 4 (August)
Pages: 16-21   |   Vol. 3, No. 4, August 2016   |   Follow on         
Paper in PDF Downloads: 95   Since Aug. 25, 2016 Views: 1798   Since Aug. 25, 2016
Authors
[1]
Hamidreza Masror, Department of Experimental Surgery, Faculty of Medicine, McGill University, Jewish General Hospital, Montreal, Quebec, Canada.
[2]
John S. Sampalis, Department of Experimental Surgery, Faculty of Medicine, McGill University, Jewish General Hospital, Montreal, Quebec, Canada.
[3]
Zahra Chitsazian, Department of Internal Medicine, Faculty of Medicine, Kashan University of Medical Science, Beheshti Hospital, Kashan, Iran.
Abstract
Objective: Electrolytes and water play vital roles in maintaining homeostasis within the body. They help to regulate myocardial and neurological functions, fluid balance, oxygen delivery, acid-base balance among others. Major surgeries are one of the important causes of water-electrolyte imbalance. As the result, this case-referent retrospective study demonstrated that water-electrolyte imbalance significantly increased morality risk of major abdominal or thoracic surgeries. We had 72 cases of water-electrolyte imbalance and 68 of balance in death group. We had 52 cases of water-electrolyte imbalance and 180 balance in alive group. Odds ratio is 3.665 and 95% confidence interval is 2.330-5.764. In conclusion, one of the potentially important preventable complications that increases mortality risk of surgeries, is water-electrolyte imbalance. Therefore, by strict control of water-electrolyte balance, we can reduce the mortality of surgeries.
Keywords
Major Surgery, Water-Electrolyte Imbalance, Mortality Risk
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