الفهرس 
Sodium imbalance and its impact on the outcome in critically ill hospitalized cirrhotic patients
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Abstract
To evaluate of the impact of sodium imbalance on outcome of hospitalized patients with cirrhosis and its prognostic value. Also the impact of preoperative sodium imbalance on post-transplant outcome.
Methods: 150 patients with liver cirrhosis were enrolled in the study. They were hospitalized for different indications (GI bleeding, hepatic enceph- alopathy, preparation for liver transplantation, spontaneous bacterial peritonitis, hepatorenal syndrome and refectory ascites). And they were randomly selected from department of internal medicine in Kasr AlAiny hospital and liver transplantation unit in specialized Manial hospital in Kasr AlAiny hospital during the period from August 2021 to November 2021. The patients were divided into three groups: group 1: patients admitted for upper gastrointestinal bleeding without decompensation, group 2: cirrhotic patients admitted for any manifestations of liver decompensation e.g.: hepatic encephalopathy, refractory ascites and or / SBP, group 3: liver transplant recipients in the preoperative period. Serum Na level were measured to all patients at the admission and were followed during their stay in the hospital at post-operative D3 and D7. The expected outcome: death, ICU or hospital discharge.
Results: The result of this study showed that Na level was significantly lower among patients who were admitted to ICU when compared with others (p
<0.001). Also we found that Na levelwas significantly lower among patients who died.
Conclusion: low serum sodium levels (hyponatremia) is a common feature among patients with cirrhosis. . It is seldom spontaneous and has a negative influence on cirrhosis related complications. There is a good negative correlation between Na level at the endof the follow up period and length of hospital stay.