Research Article

Hyponatraemia as a Predictor of Mortality in Medical Admissions in Ghana: A Comparative Study

Table 1

Comparison of patients with hyponatraemia and normonatraemia (n = 846).

VariableAll cases, N  = 846Hyponatraemia, N  = 406Controls, N  = 440 value

Male gender, n (%)460 (54.4)217 (53.5)243 (55.2)0.604
Age (years), μ (SD)52.1 ± 18.851.5 ± 19.052.7 ± 18.60.340
Serum sodium (mmol/L), μ (SD)133.8 ± 7.6128 ± 7.8138.0 ± 5.0<0.001
Serum albumin (g/L), μ (SD33.9 ± 19.831.6 ± 16.536.1 ± 22.4<0.001
Serum protein (g/L), M (IQR)66.5 (58–75.6)64 (55.2–75.6)71 (63.3–78.8)<0.001
Serum urea (mmol/L), M (IQR)5.8 (3.44–12.0)6.9 (3.9–15.8)5.2 (3.3–9.6)<0.001
Serum creatinine (μmol/L), M (IQR)90 (61.1–170)95 (61–232.5)88 (62–144)0.091
Medical diagnosis
Infections, n (%)
177 (20.9)105 (25.9)72 (16.4)0.001
Malignancies, n (%)22 (2.6)11 (2.7)11 (2.5)0.848
Heart failure, n (%)109 (12.9)33 (8.1)76 (17.3)<0.001
Cranial pathologies, n (%)154 (18.2)23 (5.7)131 (29.8)<0.001
Chronic kidney disease, n (%)96 (11.4)66 (16.3)30 (6.8)<0.001
Hyperglycaemia, n (%)98 (11.6)68 (16.8)30 (6.8)<0.001
Liver disease, n (%)116 (13.7)69 (17.0)47 (10.7)0.008
Alcoholism, n (%)27 (3.2)16 (3.9)14 (3.18)0.551
Mortality, n (%)227 (26.9%)129 (31.8)98 (22.3)0.002
Duration of hospital stay (days), M (IQR)6 (3–10)7 (4–10)6 (3–10)0.090

n, number; μ, mean; SD, standard deviation; M, median; IQR, interquartile range; mmol, millimole; L, litre; g, grams; μmol/L, micromole per litre.