Table 2.
Variable | Admission Hypernatremia, n=122; Median (IQR) | Hospital-Acquired Hypernatremia, n=327; Median (IQR) | ||||
---|---|---|---|---|---|---|
≤0.5 mmol/L per h | >0.5 mmol/L per h | P Value | ≤0.5 mmol/L per h | >0.5 mmol/L per h | P Value | |
Total, n (%) | 90 (74) | 32 (26) | 225 (69) | 102 (31) | ||
Serum sodium, mmol/L | ||||||
at peak | 162.0 (159.0–168.0) | 166.0 (158.5–169.5) | 0.4 | 157.0 (156.0–160.0) | 159.0 (157.0–164.0) | <0.001 |
at 24 h | 156.0 (153.0–160.0) | 152.0 (145.5–157.0) | 0.1 | 153.0 (150.0–156.0) | 146.0 (143.0–152.0) | <0.001 |
after correction or last available | 144.0 (143.0–145.0) | 144.0 (141.0–145.0) | 0.9 | 145.0 (143.0–149.0) | 144.0 (142.0–145.0) | 0.02 |
Serum sodium difference, mmol/L | ||||||
at 24 h | 7.5 (4.0–10.0) | 13.0 (11.0–15.0) | <0.001 | 5.0 (3.0–7.0) | 13.0 (8.0–19.0) | <0.001 |
at correction or last available | 18.0 (14.0–24.0) | 25.0 (13.0–31.5) | 0.1 | 13.0 (10.0–15.0) | 16.0 (13.0–21.0) | <0.001 |
Serum sodium time difference, h | ||||||
at 24 h | 19.4 (16.0–21.8) | 18.0 (15.0–20.5) | 0.2 | 18.2 (11.9–21.9) | 14.7 (9.2–18.9) | <0.001 |
at correction or last available | 69.2 (45.3–89.4) | 24.0 (16.2–41.1) | <0.001 | 56.7 (34.1–88.8) | 14.2 (6.7–23.4) | <0.001 |
Rate of sodium correction, mmol/L per h | ||||||
at 0–24 h | 0.4 (0.2–0.6) | 0.7 (0.6–1.0) | <0.001 | 0.3 (0.2–0.4) | 0.9 (0.6–1.6) | <0.001 |
Peak to normal level or last available | 0.3 (0.2–0.4) | 0.7 (0.6–1.4) | <0.001 | 0.2 (0.1–0.3) | 0.9 (0.6–1.6) | <0.001 |
ICU, intensive care unit; IQR, interquartile range.