Table 1.
n | ||
---|---|---|
Mean age ± s.d. (years) | 66.38 ± 16.04 | 112 |
Weight ± s.d. (kg) | 68.88 ± 16.30 | 105 |
Height ± s.d. (m2) | 1.67 ± 0.09 | 102 |
BMI ± s.d. (kg/m2) | 24.80 ± 5.62 | 102 |
Sex | Females= 61; males =51 | 112 |
Mean Na+ at baseline ± s.d. (mmol/L) | 113.82 ± 6.41 | 112 |
Mean number of Na+ readings in first 24 h after infusion ± s.d. | 3.71 ± 1.84 | 112 |
Aetiology | 112 | |
SIAD | 30 (26.8%) | |
SIAD and drug-induced | 36 (32.1%) | |
Hypovolemia | 12 (10.7%) | |
Hypovolemia and drug-induced | 11 (9.8%) | |
Drug-induced only | 10 (8.9%) | |
Hypervolemia | 6 (5.4%) | |
Others | 2 (1.8%) | |
Unknown | 5 (4.5%) | |
Symptoms | ||
Acute confusion (%) | 55 (49.1%) | 112 |
Seizures (%) | 27 (24.1%) | 112 |
Reduced consciousness (%) | 26 (23.2%) | 112 |
Vomiting (%) | 27 (24.1%) | 112 |
Biochemical severity of hyponatraemia only (%) | 20 (17.9%) | 112 |
Location | ||
Ward (%) | 72 (67%) | 112 |
High dependency or intensive care units (%) | 14 (12.5%) | 112 |
A&E (%) | 23 (20.5%) | 112 |
Number of boluses | ||
1 (%) | 42 (37.5%) | 112 |
2 (%) | 43 (38.4%) | 112 |
3 or more (%) | 27 (24.1%) | 112 |
History of alcohol excess (%) | 33 (29.5%) | 112 |
Underweight (%) | 9 (8.0%) | 112 |
Length of stay (days) | 15.7 ± 14.7 | 112 |
Overcorrection treatment | ||
Use of desmopressin (%) | 5 (4.5%) | 112 |
Use of dextrose (%) | 20 (17.9%) | 112 |
Investigations | ||
Serum osmolality (%) | 110 (98.2%) | 112 |
Urine osmolality and Na (%) | 103 (92%) | 112 |
Cortisol (%) | 97 (86.6%) | 112 |
TSH (%) | 103 (92%) | 112 |
Aetiology-specific treatment (%) | 110 (98.2%) | |
Type of specific treatment | ||
Fluid restriction (%) | 75 (67.0%) | 112 |
Intravenous normal saline (%) | 38 (33.9%) | 112 |
Hold-offending drugs (%) | 57 (50.9%) | 112 |
Tolvaptan (%) | 1 (0.9%) | 112 |
Demeclocycline (%) | 4 (3.6%) | 112 |
Slow sodium tablets (%) | 12 (10.7%) | 112 |
Specialist endocrine opinion (%) | 92 (82.1%) | 112 |
Type of hypertonic saline | ||
2.7% (%) | 109 (97.3%) | 112 |
1.8% (%) | 3 (2.7%) | 112 |
A&E, Accident and Emergency department; BMI, body mass index; SIAD, syndrome of inappropriate antidiuresis; TSH, thyroid-stimulating hormone.