Hyponatremia as a predictor of outcome and mortality: results from a second-level urban emergency department population.
Emergency department
Hyponatremia and mortality
Hyponatremia as a prognostic factor
Journal
Irish journal of medical science
ISSN: 1863-4362
Titre abrégé: Ir J Med Sci
Pays: Ireland
ID NLM: 7806864
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
19
10
2021
accepted:
08
02
2022
pubmed:
22
2
2022
medline:
4
2
2023
entrez:
21
2
2022
Statut:
ppublish
Résumé
Hyponatremia is the most common electrolyte disorder and it has been associated with increased mortality. This study evaluated hyponatremia as a prognostic factor for severity and mortality. We compared the prevalence of hyponatremia among patients who died during the year 2017 (from 1 January 2017 to 31 December 2017) with the prevalence of hyponatremia among subgroups of patients, i.e. outpatients, patients hospitalized for more than 2 days and patients admitted in the intensive care unit (ICU). We also described the mortality rate and the prevalence of comorbidities among hyponatremic patients, according to hyponatremia degree (slight, moderate, severe), basal characteristics, comorbidities and their outcome (discharged, hospitalized or died). In our population of a public hospital setting, hyponatremia was present at admission in 17% of deaths, and the comparison between hyponatremic and normonatremic patients in terms of mortality confirms the hypothesis that this disorder is in anyway strictly associated with vulnerability and with a poor prognosis. We conclude that hyponatremia is a predictive marker for a bad clinical course, therefore patients with this electrolyte disorder should be carefully monitored.
Sections du résumé
BACKGROUND
BACKGROUND
Hyponatremia is the most common electrolyte disorder and it has been associated with increased mortality.
AIMS
OBJECTIVE
This study evaluated hyponatremia as a prognostic factor for severity and mortality.
METHODS
METHODS
We compared the prevalence of hyponatremia among patients who died during the year 2017 (from 1 January 2017 to 31 December 2017) with the prevalence of hyponatremia among subgroups of patients, i.e. outpatients, patients hospitalized for more than 2 days and patients admitted in the intensive care unit (ICU). We also described the mortality rate and the prevalence of comorbidities among hyponatremic patients, according to hyponatremia degree (slight, moderate, severe), basal characteristics, comorbidities and their outcome (discharged, hospitalized or died).
RESULTS
RESULTS
In our population of a public hospital setting, hyponatremia was present at admission in 17% of deaths, and the comparison between hyponatremic and normonatremic patients in terms of mortality confirms the hypothesis that this disorder is in anyway strictly associated with vulnerability and with a poor prognosis.
CONCLUSIONS
CONCLUSIONS
We conclude that hyponatremia is a predictive marker for a bad clinical course, therefore patients with this electrolyte disorder should be carefully monitored.
Identifiants
pubmed: 35187606
doi: 10.1007/s11845-022-02953-8
pii: 10.1007/s11845-022-02953-8
doi:
Substances chimiques
Electrolytes
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
389-393Informations de copyright
© 2022. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.
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