Study on assessment of thyroid status among critically ill patients admitted in a tertiary care hospital
| Main Authors: | Inturi Bhavana, Reshma Kommineni, G. Kusuma Gayatri |
|---|---|
| Format: | Article info application/pdf Journal |
| Bahasa: | eng |
| Terbitan: |
IJHS Medical Association
, 2017
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| Subjects: | |
| Online Access: |
https://www.ijhsonline.com/index.php/IJHS/article/view/217 https://www.ijhsonline.com/index.php/IJHS/article/view/217/146 |
Daftar Isi:
- Introduction: Any acute severe illness can cause abnormalities of circulating TSH or thyroid hormone levels in the absence of underlying thyroid disease. Material & Methods: A hospital based cross sectional study was done among 100 critically ill patients admitted to Katuri Medical College and Hospital, Chinakondrupadu, Guntur. All critically ill patients aged above 18 years admitted to Intensive Care Unit, Emergency ward and patients suffering from Acute renal failure, Acute Respiratory failure, Congestive cardiac failure, Diabetic ketoacidosis, Septicemia and Advanced HIV infection were included. 3ml of early morning sample containing plain clotted blood were collected and sent for T3,T4,TSH estimation. The hormone estimation was done by chemiluminescence assay. Results: In the study, of 100 critically ill patients out of which 16 patients had acute renal failure, 18 patients had acute respiratory failure, 18 patients had congestive Cardiac failure, 16 patients had Diabetic ketoacidosis, 18 patients had Sepsis and 14 patients had Advanced HIV. Among 100 patients, 60% had low T3, 26% had low T4, 10% had high T4 and 4% had low TSH. Conclusions: Abnormalities in thyroid function were more common in critically ill non thyroidal illness patients.