Avaliação do nível sérico de sódio em pacientes hospitalizados portadores da imunodeficiência adquirida

Abstract

Hyponatremia represents the most common hydroelectrolytic disorder in patients with human immunodeficiency virus / acquired immunodeficiency syndrome (HIV / AIDS). Its importance grows especially in this group of individuals, due to the association of several etiological causes, besides being an independent factor of prognosis. The objective of this study was to evaluate the serum sodium level at the time of admission of hospitalized patients diagnosed with HIV / AIDS, as well as to describe clinical characteristics and laboratory findings. For the collection of data and the achievement of study objectives, a review of the medical records of hospitalized patients at the University Hospital was carried out, comparing the results with a control group (CG) of healthy individuals matched by age, sex and height. Among the HIV / AIDS patients evaluated, 57.9% presented hyponatremia and there was statistical difference when compared to the CG and the HIV / AIDS (GS) group (GC = 140.2 ± 1.4 vs GS = 133.1 ± 5, 6, p <0.001). GS also presented higher frequency of anemia, hypoalbuminemia, elevation of gamma-GT; In addition to statistically lower values of weight and BMI. Hyponatremia is a frequent clinical condition in patients with HIV / AIDS, which should be diagnosed and treated early and adequately.