Turkish Journal of Nephrology
Original Article

Hypernatremia in the Emergency Department

1.

İnönü Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Malatya, Türkiye

2.

İnönü Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Malatya, Türkiye

3.

İnönü Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Malatya, Türkiye

Turkish J Nephrol 2012; 21: 124-129
DOI: 10.5262/tndt.2012.1002.04
Read: 748 Downloads: 441 Published: 11 February 2019

INTRODUCTION: To determine the symptoms, clinical characteristics, prevalence and outcome of patients with hypernatremia who presented at the emergency department.

MATERIAL and METHODS: We retrospectively studied patients who presented at the emergency department with hypernatremia (Na>148 meq/l) from January 2008 to December 2008.

RESULTS: A total of 25.545 cases presented at the Emergency Department and hypernatremia was seen in 86 patients. The prevalence of hypernatremia was 0.34%. The mean age was 69.5±15.2 (20- 96, median age: 75) years and 51 of them (59%) were male. Forty percent of the patients died. There were no significant differences according to age, gender and admission Na levels. A comorbid disease were seen 99% of patients. Cerebrovascular disease(CVD), dementia/Alzheimer and hypertension were the most common co-morbid diseases (respectively, 34%, 34%,and 27%). Central neurological system disorders (such as thrombotic or hemorrhagic CVD, Alzheimer, etc.) were seen in 72% of the cases. Fifty patients had acute infection at the time of admission. Acute urinary infection, pneumonia and acute CVD were the most common acute illnesses.

CONCLUSION: Hypernatremia is usually seen in the geriatric population and associated with a high mortality and morbidity rate and the majority of patients with hypernatremia have a comorbid disease. The prevalence of hypernatremia was 0.34% in our emergency department. 

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EISSN 2667-4440