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- Title
Acil İç Hastalıkları Servisine Hiponatremi Nedeniyle Yatırılan Hastalarda Etiyoloji ve Prognozun Geriye Dönük Değerlendirilmesi.
- Authors
AKIN, Seydahmet; KAZAN, Sinan; ERDEM, Muhammet Emin; KILIÇ AYDIN, Didem; GÖZEK ÖCAL, Aslı; TEKÇE, Mustafa; ALİUSTAOĞLU, Mehmet
- Abstract
Background: Hyponatremia is a serious clinical condition characterized by a high morbidity and mortality that shows an increasing incidence in presentation to the emergency department. We aimed to evaluate the etiology and prognosis of patients with hyponatremia hospitalized to the emergency internal medicine service. Methods: 118 consecutive patients with hyponatremia hospitalized to emergency internal medicine service from February 2012 to July 2013 were included in our study. We recorded demographic data, serum Na+ levels, volume status, factors that led to hyponatremia and prognosis of all patients. Results: 57 (48.3%) men and 61 (51.7%) women were included in our study. Median age was 68 years. The mean level of Na+ was 114.6±8.4 mEq/l. We detected normovolemic hyponatremia in 51 patients (43.2%), hypervolemic hyponatremia in 37 patients (31.4%) and hypovolemic hyponatremia in 30 patients (25.4%). Syndrome of inappropriate ADH was the leading cause of hyponatremia. Normovolemic patients had the highest mortality rate. Conclusion: The results of our study suggest that the most common cause of hyponatremia in tertiary health care units is not hypotonic solutions, but rather syndrome of inappropriate ADH.
- Publication
Journal of Kartal Training & Research Hospital / Kartal Egitim ve Arastirma Hastanesi Tip Dergisi, 2014, Vol 25, Issue 3, p200
- ISSN
1302-485X
- Publication type
Article
- DOI
10.5505/jkartaltr.2014.56933