{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:38:09Z","timestamp":1785537489843,"version":"3.56.0"},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"5","license":[{"start":{"date-parts":[[2024,2,4]],"date-time":"2024-02-04T00:00:00Z","timestamp":1707004800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,2,4]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A k\u00e1liumzavarok el\u0151fordul\u00e1sa a s\u00fcrg\u0151ss\u00e9gi oszt\u00e1lyokon\n sz\u00e1mottev\u0151, ami jelent\u0151s morbidit\u00e1ssal \u00e9s mortalit\u00e1ssal j\u00e1r.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A kutat\u00e1s c\u00e9lja, hogy bemutassa a dyskalaemi\u00e1k\n prevalenci\u00e1j\u00e1t hazai s\u00fcrg\u0151ss\u00e9gi betegell\u00e1t\u00f3 oszt\u00e1lyon, a kialakul\u00e1s \u00e9s a kezel\u00e9s\n k\u00f6r\u00fclm\u00e9nyeit, befoly\u00e1sol\u00f3 t\u00e9nyez\u0151it.\n M\u00f3dszer:<\/jats:italic>\n Keresztmetszeti,\n retrospekt\u00edv vizsg\u00e1latot v\u00e9gezt\u00fcnk, anonim m\u00f3don. A minta, nem v\u00e9letlenszer\u0171\n mintav\u00e9teli m\u00f3dszert k\u00f6vet\u0151en, a J\u00e1sz-Nagykun-Szolnok Megyei Het\u00e9nyi G\u00e9za\n K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet S\u00fcrg\u0151ss\u00e9gi Betegell\u00e1t\u00f3 Oszt\u00e1ly\u00e1n 2021. szeptember \u00e9s\n december k\u00f6z\u00f6tt jelentkez\u0151, hypo- (n\n 1<\/jats:sub>\n = 130) vagy hyperkalaemi\u00e1val\n (n\n 2<\/jats:sub>\n = 70) diagnosztiz\u00e1lt p\u00e1ciensekb\u0151l \u00e1llt (n = 200). A kapott\n adatokat le\u00edr\u00f3 \u00e9s matematikai statisztikai sz\u00e1m\u00edt\u00e1sokkal (khi\n 2<\/jats:sup>\n -pr\u00f3ba,\n k\u00e9tmint\u00e1s\n t<\/jats:italic>\n -pr\u00f3ba, ANOVA \u00e9s korrel\u00e1ci\u00f3anal\u00edzis) \u00e9rt\u00e9kelt\u00fck ki,\n SPSS 22.0 szoftver seg\u00edts\u00e9g\u00e9vel (p<0,05).\n Eredm\u00e9nyek:<\/jats:italic>\n A\n hypokalaemia hajlamos\u00edt\u00f3 t\u00e9nyez\u0151i k\u00f6z\u00e9 tartozott a n\u0151i nem (p<0,001) \u00e9s a\n magasv\u00e9rnyom\u00e1s-betegs\u00e9g (p = 0,04). A k\u00f6z\u00e9ps\u00falyos hypokalaemi\u00e1s p\u00e1ciensek 60%-a\n diagnosztiz\u00e1lt hypertoni\u00e1s volt (p = 0,003). A hyperkalaemi\u00e1s \u00e1llapotokhoz az\n emelkedettebb v\u00e9rcukor\u00e9rt\u00e9kek (p<0,001), a diabetes mellitus (p<0,001) \u00e9s\n a kr\u00f3nikus vesebetegs\u00e9g volt k\u00f6thet\u0151 (p<0,001). Min\u00e9l s\u00falyosabb volt a\n k\u00e1liumelt\u00e9r\u00e9s m\u00e9rt\u00e9ke, ann\u00e1l nagyobb val\u00f3sz\u00edn\u0171s\u00e9ggel voltak jelen k\u00f3rjelz\u0151\n diagnosztikus EKG-elt\u00e9r\u00e9sek, melyek hyperkalaemia eset\u00e9n 48,6%-ban fordultak el\u0151\n (p<0,001). A prezent\u00e1ci\u00f3s panaszok tekintet\u00e9ben a fullad\u00e1ssal jelentkez\u0151k\n eset\u00e9ben volt a legmagasabb a sz\u00e9rumk\u00e1liumszint (p<0,001). Az \u00e9letment\u0151\n beavatkoz\u00e1sra szorul\u00f3 betegek t\u00f6bbs\u00e9ge s\u00falyos hypokalaemi\u00e1val b\u00edrt (p<0,001).\n A hyperkalaemia, illetve a hypokalaemia gyakran j\u00e1rt k\u00f3rh\u00e1zi felv\u00e9tellel, m\u00edg\n ritk\u00e1bban hal\u00e1loz\u00e1ssal.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Mindenk\u00e9ppen hasznos\n lenne a dyskalaemi\u00e1s \u00e1llapotok kezel\u00e9s\u00e9re egys\u00e9ges ir\u00e1nyelvek kidolgoz\u00e1sa,\n amelyek nagym\u00e9rt\u00e9kben n\u00f6velhetik a betegbiztons\u00e1got, \u00e9s megk\u00f6nny\u00edthetik a\n klinikus d\u00f6nt\u00e9si helyzet\u00e9t kritikus szitu\u00e1ci\u00f3kban. Orv Hetil. 2024; 165(5):\n 183\u2013191.\n <\/jats:p>","DOI":"10.1556\/650.2024.32968","type":"journal-article","created":{"date-parts":[[2024,2,4]],"date-time":"2024-02-04T09:47:32Z","timestamp":1707040052000},"page":"183-191","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A k\u00e1liumion-zavarok jelent\u0151s\u00e9ge a s\u00fcrg\u0151ss\u00e9gi ell\u00e1t\u00e1sban"],"prefix":"10.1556","volume":"165","author":[{"given":"Kitti","family":"M\u00e1t\u00e9-P\u00f3hr","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, S\u00fcrg\u0151ss\u00e9gi, Eg\u00e9szs\u00e9gpedag\u00f3giai \u00e9s \u00c1pol\u00e1studom\u00e1nyi Int\u00e9zet, Oxyol\u00f3giai, S\u00fcrg\u0151ss\u00e9gi Ell\u00e1t\u00e1si Tansz\u00e9k Szombathely, J\u00f3kai u. 14., 9700 Magyarorsz\u00e1g"},{"name":"Orsz\u00e1gos Ment\u0151szolg\u00e1lat, Nyugat-dun\u00e1nt\u00fali R\u00e9gi\u00f3 S\u00e1rv\u00e1r Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f3zsef","family":"Betlehem","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, S\u00fcrg\u0151ss\u00e9gi, Eg\u00e9szs\u00e9gpedag\u00f3giai \u00e9s \u00c1pol\u00e1studom\u00e1nyi Int\u00e9zet P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1lint","family":"B\u00e1nfai","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, S\u00fcrg\u0151ss\u00e9gi, Eg\u00e9szs\u00e9gpedag\u00f3giai \u00e9s \u00c1pol\u00e1studom\u00e1nyi Int\u00e9zet, Eg\u00e9szs\u00e9gpedag\u00f3giai \u00e9s S\u00fcrg\u0151ss\u00e9gi Alapoz\u00f3 Tansz\u00e9k P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bal\u00e1zs","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Ment\u0151szolg\u00e1lat, Nyugat-dun\u00e1nt\u00fali R\u00e9gi\u00f3 Szombathely Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert D\u00e1vid","family":"B\u0151di","sequence":"additional","affiliation":[{"name":"Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont Szolnok Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emese","family":"S\u00e1nta","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, S\u00fcrg\u0151ss\u00e9gi, Eg\u00e9szs\u00e9gpedag\u00f3giai \u00e9s \u00c1pol\u00e1studom\u00e1nyi Int\u00e9zet, Eg\u00e9szs\u00e9gpedag\u00f3giai \u00e9s S\u00fcrg\u0151ss\u00e9gi Alapoz\u00f3 Tansz\u00e9k Szombathely Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Paice B, Gray JM, McBride D, et al. Hyperkalaemia in patients in\n hospital. B R Med (Clin Res Ed). 1983; 286: 1189\u20131192.","DOI":"10.1136\/bmj.286.6372.1189"},{"key":"R2","unstructured":"Moore ML, Bailey RR. Hyperkalaemia in patients in hospital. N Z Med\n J. 1989; 102: 557\u2013558."},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Muschart X, Boulouffe C, Jamart J, et al. A determination of the\n current causes of hyperkalaemia and whether they have changed over the past 25\n years. Acta Clin Belg. 2014; 69: 280\u2013284.","DOI":"10.1179\/0001551214Z.00000000077"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Fleet JL, Shariff SZ, Gandhi S, et al. Validity of the International\n Classification of Diseases 10th revision code for hyperkalaemia in elderly\n patients at presentation to an emergency department and at hospital admission.\n BMJ Open 2012; 2: e002011.","DOI":"10.1136\/bmjopen-2012-002011"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Ookuma T, Miyasho K, Kashitani N, et al. The clinical relevance of\n plasma potassium abnormalities on admission in trauma patients: a retrospective\n observational study. J Intensive Care 2015; 3: 37.","DOI":"10.1186\/s40560-015-0103-6"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Hunter RW, Bailey MA. Hyperkalemia: pathophysiology, risk factors\n and consequences. Nephrol Dial Transplant. 2019; 34(Suppl 3):\n iii2\u2013iii11.","DOI":"10.1093\/ndt\/gfz206"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Truhl\u00e1\u0159 A, Deakin CD, Soar J, et al. European Resuscitation Council\n Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special\n circumstances. Resuscitation 2015; 95: 148\u2013201.","DOI":"10.1016\/j.resuscitation.2015.07.017"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Arampatzis S, Funk GC, Leichtle AB, et al. Impact of diuretic\n therapy-associated electrolyte disorders present on admission to the emergency\n department: a cross-sectional analysis. BMC Med. 2013; 11: 83.","DOI":"10.1186\/1741-7015-11-83"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Acker CG, Johnson JP, Palevsky PM, et al. Hyperkalemia in\n hospitalized patients: causes, adequacy of treatment, and results of an attempt\n to improve physician compliance with published therapy guidelines. Arch Intern\n Med. 1998; 158: 917\u2013924.","DOI":"10.1001\/archinte.158.8.917"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Lane N, Allen K. Hyponatraemia after orthopaedic surgery. BMJ 1999;\n 318: 1363\u20131364.","DOI":"10.1136\/bmj.318.7195.1363"},{"key":"R11","unstructured":"Marti G, Schwartz C, Leichtle A, et al. Etiology and symptoms of\n severe hypokalemia in emergency department patients. Eur J Emergd Med. 2014; 21:\n 46\u201351."},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Krogager ML, Torp-Pedersen C, Mortensen RN, et al. Short-term\n mortality risk of serum potassium levels in hypertension: a retrospective\n analysis of nationwide registry data. Eur Heart J. 2017; 38:\n 104\u2013112.","DOI":"10.1093\/eurheartj\/ehw129"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Varga Cs, K\u00e1lm\u00e1n Z, Szak\u00e1ll A, et al. ECG alterations suggestive of\n hyperkalemia in normokalemic versus hyperkalemic patients. BMC Emerg Med. 2019;\n 19: 33.","DOI":"10.1186\/s12873-019-0247-0"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"D\u00e9pret F, Peacock WF, Liu KD, et al. Management of hyperkalemia in\n the acutely ill patient. Ann Intensive Care 2019; 9: 32.","DOI":"10.1186\/s13613-019-0509-8"},{"key":"R15","unstructured":"P\u00f3hr K, K\u00f6cse T, Mesterh\u00e1zi A, et al. Importance of the\n hyponatraemia in the emergency care. [A hyponatraemia jelent\u0151s\u00e9ge a s\u00fcrg\u0151ss\u00e9gi\n ell\u00e1t\u00e1sban.] N\u0151v\u00e9r 2017; 30: 3\u20138. [Hungarian]"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Szigeti N, Wittmann I, Csik\u00f3s \u00c1. Hyponatraemia in palliative care\n regarding a case report. [Hyponatraemia a palliat\u00edv ell\u00e1t\u00e1sban egy esetbemutat\u00e1s\n kapcs\u00e1n.] Orv Hetil. 2023; 164: 713\u2013717. [Hungarian]","DOI":"10.1556\/650.2023.32766"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Rafael B, Horv\u00e1th L, Szem\u00e1n F, et al. Association of diabetes\n mellitus with depression, anxiety and quality of life. [A diabetes mellitus\n kapcsolata a depresszi\u00f3val, a szorong\u00e1ssal \u00e9s az \u00e9letmin\u0151s\u00e9ggel.] Orv Hetil.\n 2022; 163: 1789\u20131797. [Hungarian]","DOI":"10.1556\/650.2022.32628"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Singer AJ Thode HC Jr, Peacock WF. A retrospective study of\n emergency department potassium disturbances: severity, treatment, and outcomes.\n Clin Exp Emerg Med. 2017; 4: 73\u201379.","DOI":"10.15441\/ceem.16.194"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Abensur Vuillaume L, Ferreira JP, Asseray N, et al. Hypokalemia is\n frequent and has prognostic implications in stable patients attending the\n emergency department. PLoS ONE 2020; 15: 0236934.","DOI":"10.1371\/journal.pone.0236934"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/165\/5\/article-p183.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/165\/5\/article-p183.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/165\/5\/article-p183.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:42:07Z","timestamp":1785321727000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/165\/5\/article-p183.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,4]]},"references-count":19,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.1556\/650.2024.32968","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,4]]}}}