Hyponatremia in geriatric patients
- 14.08.2024
- Original Contributions
Erschienen in:
- Verfasst von
- Marija Djukic
- Jeannine Grewe
- Olga Kunz
- Oliver Gross
- Roland Nau
- Erschienen in
- Zeitschrift für Gerontologie und Geriatrie | Ausgabe 1/2025
Abstract
Hyponatremia is the most frequent electrolyte imbalance in geriatric medicine. Causes of hyponatremia were retrospectively analyzed in all in-patients treated in 2016 (N = 2267, 1564 women, 703 men, mean age ± standard deviation 81.9 ± 7.6 years). Any form of hyponatremia on admission, during the stay or on discharge was noted in 308 patients (13.6%, 231 women, 77 men; mean age ± standard deviation 83.1 ± 7.3 years, p = 0.009 vs. age of all patients). Women had a higher probability of developing hyponatremia compared to men (p = 0.019), 131 patients were hypovolemic, and dyspnea as an indicator of hypervolemia was noted in 71 patients.
Only 12 patients suffering from hyponatremia (3.9%) did not receive any of the potentially sodium-lowering drugs assessed (diuretics, angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, antidepressants, neuroleptics, nonsteroidal antirheumatics, carbamazepine, oxcarbazepine). The median number of drugs per patient potentially lowering the plasma sodium level was 3 and the maximum number was 7.
Hypovolemic hyponatremia and the syndrome of inadequate antidiuretic hormone secretion were the most important causes of hyponatremia. Adverse drug effects were the main origins of both conditions. In patients with hyponatremia the drug load influencing plasma sodium level should be minimized, thiazide diuretics should be avoided and older individuals should receive a diet with sufficient salt content.
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- Titel
- Hyponatremia in geriatric patients
- Verfasst von
-
Marija Djukic
Jeannine Grewe
Olga Kunz
Oliver Gross
Roland Nau
- Publikationsdatum
- 14.08.2024
- Verlag
- Springer Medizin
- Erschienen in
-
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 1/2025
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269 - DOI
- https://doi.org/10.1007/s00391-024-02342-z
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