Research Article

Prevalence, Risk Factors, and Mortality of Patients Presenting with Moderate and Severe Hyponatremia in Emergency Departments

Table 1

Baseline characteristics of the 257 patients grouped according to the severity of hyponatremia (univariate associations).

Group 1: Na = 121–130 mmol/L n = 185 (65.1%)Group 2: Na ≤ 120 mmol/L n = 99 (34.9%)TotalChi-square

Demographics:
Age
 >6598 (53.0%)72 (72.7%)170 (59.9%)0.001
 <6587 (47.0%)27 (27.3%)114 (40.1%)
 Mean age (year) ± SD69.9 ± 14.1665.65 ± 1567.13 ± 14.8
Gender
 Male80 (43.2%)35 (35.4%)115 (40.5%)0.12
 Female105 (56.8%)64 (64.9%)169 (59.5%)

Blood pressure: (Mean)
Systolic blood pressure133 ± 29.8134.04 ± 31.4133.7 ± 30.830.77
Diastolic blood pressure72 ± 18.4474 ± 17.7573 ± 190.87
Heart rate78.5 ± 18.3283.7 ± 16.8581.9 ± 17.520.27

Biochemical values: (Mean)
Potassium (mmol/L)4.43 ± 0.964.7 ± 3.04.62 ± 2.520.4
Serum albumin (g/L)31.6 ± 13.828.5 ± 15.929.6 ± 15.20.2
Serum hemoglobin level (g/L)118.2 ± 30.0118.9 ± 36.0118.6 ± 34.00.9
Serum creatinine (mmol/L)128.0 ± 141.0123.1 ± 164.7128.0 ± 141.00.5
Serum glucose (mmol/L)10.4 ± 6.010.0 ± 5.610.2 ± 5.70.9

Comorbidities:
Diabetes114 (61.6%)69 (69.7%)183 (64%)0.18
Hypertension140 (75.7%)82 (82.8%)222 (77.9%)0.16
Cardiac disease65 (35.1%)44 (44.4%)109 (38.2%)0.12
Neurological disease26 (14.1%)12 (12.1%)38 (13.3%)0.65
Chronic pulmonary disease25 (13.5%)13 (13.1%)38 (13.3%)0.93
Chronic liver disease8 (4.3%)10 (10.1%)18 (6.3%)0.06
Malignancy21 (11.4%)9 (9.1%)30 (10.5%)0.56
Chronic kidney disease37 (20.0%)22 (22.2%)59 (20.7%)0.66
Seizure disorder9 (4.9%)2 (2%)11 (3.9%)0.24

Medications:
ACEi/ARBs56 (30.3%)43 (43.4%)99 (34%)0.03
Beta blockers74 (40%)56 (56.6%)130 (45.6%)0.008
Thiazide diuretics36 (19.5%)15 (15.2%)51 (17.9%)0.34
Loop diuretics82 (44.3%)52 (52.5%)134 (47.0%)0.25
Spironolactone13 (7%)17 (56.7%)30 (10.5%)0.01
Tricyclic antidepressants7 (3.8%)0 (0%)7 (2.5%)0.05
Selective serotonin reuptake inhibitors7 (3.8%)2 (2.1%)9 (3.2%)0.40
Carbamazepine17 (9.2%)9 (9.1%)26 (9.1%)0.98
Gabapentin12 (6.5%)16 (16.2%)28 (9.8%)0.009
Proton pump inhibitors93 (50.3%)66 (66.7%)159 (55.8%)0.008
NSAIDs9 (4.9%)5 (5.1%)14 (4.9%)0.95