Thực trạng rối loạn điện giải và một số yếu tố liên quan của người bệnh tại bệnh viện điều trị người bệnh COVID-19

In this cross-sectional study, we aimed to describe the imbalance of electrolytes and some associated factors among 1061 patients with COVID-19. The proportions of patients with hyponatremia, hypokalemia, and hypochloremia were 42.2%, 16.3%, and 43.4%, respectively. There was a statistically significant difference between the severity of COVID-19 conditions and the levels of electrolyte imbalance. The odds of hyponatremia among patients with moderate COVID-19 level were 2.2 times (95%CI: 1.30 - 3.54) and 1.8 times (95%CI: 1.11 - 2.91) that of those with mild COVID-19 conditions at admission and discharge, respectively. At the first time of admission, the odds of hypochloremia was 2.1 times (95%CI: 1.28 - 3.44) higher among those with moderate COVID-19 condition compared to those with mild condition. COVID-19 patients with fever also were 2.5 times (95%CI: 1.03 - 6.12) more likely to have hyponatremia compared to those without fever. The results suggest electrolytes imbalance significantly varies in COVID-19 patients. Therefore, actions need to be taken into consideration to ensure the balance of important electrolytes and prevent further loss in the electrolytes.