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. 2022 Apr 22;11(5):e220007. doi: 10.1530/EC-22-0007

Table 2.

Characteristics of responders vs overcorrectors and non-responders at 24 h. (responders = achieving sodium rise between 5 and 10 mmol/L at 24 h, overcorrectors= achieving sodium rise >10 mmol/L at 24 h, and non-responder= achieving sodium rise <5 mmol/L at 24 h).

Responders (n  = 44) (A) Overcorrectors (n  = 48) (B) P value (A and B) Non-responders n =15 (C) P value (A and C)
Mean age ± s.d. (years) 72.23 ± 15.24 60.17 ± 13.47 0.237 70.02 ± 16.64 0.637
Weight ± s.d. (kg) 71.28 ± 15.64 67.23 ± 17.72 0.179 67.34 ± 15.36 0.414
Height ± s.d. (m2) 1.66 ± 0.08 1.68 ± 0.10 0.090 1.66 ± 0.10 0.415
BMI ± s.d. (kg/m2) 26.17 ± 5.62 23.79 ± 5.58 0.741 24.45 ± 6.03 0.336
Sex Females= 26
Males= 18
Females= 24
Males= 24
0.382 Females= 9
Males= 6
0.951
Mean Na+ at baseline ± s.d. (mmol/L) 113.7 ± 5.82 112.31 ± 6.37 0.381 116.27 ± 5.63 0.143
Mean number of Na+ readings in first 24 h after infusion ± s.d. 3.68 ± 1.57 3.94 ± 1.77 0.918 3.53 ± 2.56 0.790
Aetiology
 SIAD 14 (31.8%) 12 (25%) 0.206 4 (26.7%) 0.384
 SIAD and drug-induced 16 (36.4%) 13 (27.1%) 7 (46.7%)
 Hypovolemia 3 (6.8%) 5 (10.4%) 2 (13.3%)
 Hypovolemia and drug-induced 5 (11.4%) 6 (12.5%) 0 (0%)
 Drug-induced only 2 (4.5%) 6 (12.5%) 0 (0%)
 Hypervolemia 4 (9.1%) 1 (2.1%) 1 (6.7%)
 Others 0 (0%) 2 (4.2%) 0 (0%)
 Unknown 0 (0%) 3 (6.3%) 1 (6.7%)
Length of stay (days) 18.4 ± 15.4 11.4 ± 9.1 0.022 21.53 ± 19.95 0.527
Symptoms
 Acute confusion (%) 22 (50%) 24 (50%) 1.000 6 (40%) 0.203
 Seizures (%) 7 (15.9%) 18 (37.5%) 0.020 1 (6.7%) 0.161
 Reduced consciousness (%) 11 (25%) 13 (27.1%) 0.820 0 (0%) 0.028
 Vomiting (%) 11 (25%) 10 (20.8%) 0.634 5 (33%) 0.168
 Biochemical severity of hyponatraemia only (%) 10 (22.7%) 8 (16.7%) 0.464 2 (13.3%) 0.180
Location
 Ward (%) 29 (65.9%) 28 (58.4%) 0.426 14 (93.3%) 0.136
 High dependency or intensive care units (%) 4 (9.1%) 10 (20.8%) 0 (0%)
 A&E (%) 11 (25%) 10 (20.8%) 1 (6.7%)
Number of boluses
 1 (%) 12 (27.3%) 21 (43.8%) 0.461 5 (33.3%) 0.518
 2 (%) 20 (45.5%) 18 (37.5%) 5 (33.3%)
 3 or more (%) 12 (31.9%) 9 (18.8%) 5 (33.3%)
History of alcohol excess (%) 10 (22.7%) 18 (37.5%) 0.124 3 (20%) 0.826
 Underweight (%) 2 (4.5%) 5 (10.4%) 0.289 2 (13.3%) 0.242
Overcorrection treatment
 Use of desmopressin (%) 0 (0%) 5 (10.4%) 0.028 0 (0%) N/A
 Use of dextrose (%) 5 (11.4%) 15 (31.3%) 0.021 0 (0%) 0.172
 Specialist endocrine opinion (%) 34 (77.3%) 45 (93.8%) 0.023 11 (73.3%) 0.757
 Death during same admission 2 (4.5%) 1 (2.1%) 0.507 3 (20%) 0.063
 12-month mortality 8 (18.2%) 8 (16.7%) 0.848 3 (20%) 0.876

A&E, accident and emergency department; SIAD, syndrome of inappropriate antidiuresis; TSH, thyroid-stimulating hormone.

Bold indicates statistical significance, P < 0.05.