From: Acute Dysnatremias - a dangerous and overlooked clinical problem
Hyponatremia | Hypernatremia | Dysnatremia | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Total | Other over hydration | Exercise-associated | Primary polydipsia | Other | Ecstasy-associated | Total | Salt intoxication | Other | Total | |
Number (%) | 60 (90) | 23 (34) | 14 (21) | 9 (13) | 8 (12) | 6 (9) | 7 (11) | 4 (6) | 3 (5) | 67 (100) |
Sex (women) Number (%) | 43 (72) | 20 (87) | 6 (43) | 4 (44) | 7 (88) | 6 (100) | 4 (57) | 2 (50) | 2 (67) | 47 (70) |
Age (years) Median (lower-upper quartile) | 41 (29–54) | 41 (32–59) | 45 (32–53) | 32 (25–36) | 51 (46–69) | 19,5 (19–22) | 36 (20–52) | 28 (20–39) | 52 (35–66) | 41 (27–53) |
S-sodium (mmol/l) at hospital arrival, median (lower-upper quartile) | 116 (111–122) | 120 (115–122) | 120 (115–122) | 108 (104–112) | 108 (101–112) | 116 (115–120) | 196 (174–209) | 203 (185–228) | 175 (169–206) | 118 (111–122) |
GCS < 15, number (%) | 46 (77) | 15 (65) | 11 (79) | 7 (78) | 7 (88) | 6 (100) | 5 (71) | 3 (75) | 2 (67) | 51 (76) |
Seizures, number (%) | 40 (67) | 14 (61) | 11 (79) | 6 (67) | 6 (75) | 3 (50) | 1 (14) | 1 (25) | – | 41 (61) |
Correction rate, number (%) | ||||||||||
Slow ≤ 10 mmol/l/24 h | 7 (12) | 4 (17) | 2 (14) | 0 | 1 (13) | 0 | 0 | 0 | 0 | 7 (10) |
Rapid > 10 mmol/l/24 h | 53 (88) | 19 (83) | 12 (86) | 9 (100) | 7 (88) | 6 (100) | 7 (100) | 4 (100) | 3 (100) | 60 (90) |
Mortality, number (%) | 4 (7) | 3 (13) | 1 (7) | 0 | 0 | 0 | 2 (29) | 2 (50) | 0 | 6 (9) |