Long, C. A., Marin, P., Bayer, Antony James  ORCID: https://orcid.org/0000-0002-7514-248X, Shetty, H. G. M. and Pathy, M. S. J.
1991.
Hypernatraemia in an adult in-patient population.
Postgraduate Medical Journal -London-
67
(789)
, pp. 643-645.
10.1136/pgmj.67.789.643
|
Abstract
We report a retrospective study of hypernatraemia (serum sodium concentration> 150 mmol/l) in an adult in-patient population of a health district during one year. The incidence was 0.3% with at least 60% of cases developing after hospital admission, mainly in elderly patients. Dehydration appeared to be the major cause, with the use of diuretics, depressed conscious level or febrile illness implicated in a majority. Most patients had more than one contributory factor and iatrogenic causes were common. Associated illnesses were often severe and the in-hospital mortality was high (54%) regardless of age. Hypernatraemia in hospitalized patients should be largely avoidable and there is a need for greater awareness of the importance of active maintenance of hydration in susceptible patients.
| Item Type: | Article |
|---|---|
| Date Type: | Publication |
| Status: | Published |
| Schools: | Schools > Medicine |
| Subjects: | R Medicine > R Medicine (General) |
| Publisher: | BMJ Publishing Group |
| ISSN: | 0032-5473 |
| Last Modified: | 24 Oct 2022 12:01 |
| URI: | https://orca.cardiff.ac.uk/id/eprint/50107 |
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