The effect of treatments administered to hospitalized patients before development of Hospital Related Hyponatremia

Abstract

INTRODUCTION[|]Hospital related hyponatremia has a significant mortality and it is widely seen among hospitalized patients. The aim of this study was identify the treatments of patients before developing hyponatremia and the relationship between these treatments and severity of hyponatremia, length of stay and mortality rate.[¤]METHODS[|]This study is conducted retrospectively on 133 patients that developed hyponatremia during their hospitalization for any reason in our hospital between 2012 and 2013. Demographic features of patients, sodium values after hyponatremia, treatments applied to patients before developing hyponatremia, length of hospital stay and mortality rates were analyzed.[¤]RESULTS[|]Diuretics made up the largest part (46,6%) of medical treatments related to hyponatremia before development of hyponatremia. When any of the treatments which may cause to hyponatremia (hypotonic fluids, mannitol, diuretics, other drugs and surgery) was administered additional to current treatment, each factor was seemed to prolong length of hospital stay by 8,1+- 1,853 days.[¤]DISCUSSION AND CONCLUSION[|]Although a significant relationship between treatments and mortality rates or hyponatremia severity could not be identified, pronlongation in length of hospital stay was crucial for avoiding complications of hospitalization and also for decreasing costs of healthcare. This research may also be a guide for futher prospective case controlled studies.[¤]

Keywords

• hospital related hyponatremia
• medical treatments
• surgery
• length of hospital stay
• mortality