Hypernatraemia in an adult in-patient population.
We report a retrospective study of hypernatraemia (serum sodium concentration greater than 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.
Long
C A
CA
Department of Geriatric Medicine, Cardiff Royal Infirmary, West Wing, UK.
Marin
P
P
Bayer
A J
AJ
Shetty
H G
HG
Pathy
M S
MS
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003681:Dehydration / Q000150:complications; D006760:Hospitalization; D006801:Humans; D006955:Hypernatremia / Q000209:etiology*; D008875:Middle Aged; D012189:Retrospective Studies; D014852:Wales