Table 2.
Correction rates and outcomes of hyponatremia reported in observational cohort studies
Author (Ref.), Year, Type of Study | No. of Patients Studied | Serum Na, (mEq/L) | Criteria | Patients with Osmotic Demyelination Syndrome | ΔNa With and Without Osmotic Demyelination Syndrome |
---|---|---|---|---|---|
Sterns (17), 1987, Retrospective two hospitals | 54 | ≤110 | Admitted from home with chronica hyponatremia | 7 Clinical diagnosis | >0.55b versus ≤0.55 mEq/L per hour P<0.02 |
Brunner et al. (43), 1990, Prospective single center | 13 | <115 | Admitted from home with hyponatremia | 3 MRI diagnosis | 30 versus 18 mEq/L per 24 h P<0.05 |
Tanneau et al. (45), 1994, Retrospective single center | 12 | ≤115 | Admitted patients with compulsive water drinking | 5 Clinical diagnosis | 21.8 versus 15.5 mEq/L per 24 h P<0.02 |
Ellis (44), 1995, Prospective two hospitals | 158 | ≤120 | All admitted patients | 9 Clinical examination by single neurologist | 12.1 versus 8.2 mEq/L per 24 h P=0.01 |
Sterns et al. (18), 1994, ¼ Prospective; ¾ Response to questionnaire multicenter | 64 | ≤105 | All admitted patients | 11 Clinical diagnosis 3 MRI diagnosis All chronic casesa | >12 versus ≤12 mEq/L per day P=0.02c>18 versus ≤18 mEq/L per 48 h P=0.02d>0.55b vs ≤0.55 mEq/L per hour P=0.01e |
Vu et al. (46), 2009, Retrospective two hospitals | 255 | ≤120 | Admitted from home with hyponatremia | 4 MRI diagnosis | >12 vs ≤12 mEq/L per day P=0.06 |
(37 corrected by >12 mEq/L in 24 h) |
Na, sodium; MRI, magnetic resonance imaging.
Chronic defined as patients without psychotic polydipsia who became hyponatremic at home.
Average rate of correction to 120 mEq/L.
P<0.01 for patients with chronic hyponatremia.
P=0.003 for patients with chronic hyponatremia.
P=0.001 for patients with chronic hyponatremia.