{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:17:37Z","timestamp":1703722657319},"reference-count":27,"publisher":"Scientific Scholar","content-domain":{"domain":["nmji.in"],"crossmark-restriction":true},"short-container-title":["NMJI"],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background<\/jats:title>\n<jats:p><jats:bold>.<\/jats:bold> We investigated the demographic, aetiological and clinical characteristics of patients who presented to the emergency department and had severe hyponatraemia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods<\/jats:title>\n<jats:p><jats:bold>.<\/jats:bold> We retrospectively evaluated 1171 patients who presented to the emergency department and were diagnosed with severe hyponatraemia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results<\/jats:title>\n<jats:p><jats:bold>.<\/jats:bold> Over half the patients studied were women (53.5%). The mean age of women was higher (p&lt;0.0001). The most common complaint was dyspnoea (16.8%) and 42.5% of the patients had an oral intake disorder. In addition, 22.3% of the patients were on loop diuretics. About 76.3% of patients were conscious, and the mean sodium level of these patients was higher than the mean sodium level of those who responded to verbal and painful stimuli (p&lt;0.001). Severe isolated hyponatraemia was observed in 61.8% of the patients. The mortality rate was 12.8%. There was no difference between the mean sodium levels of the deceased and discharged patients (p=1.0). The mortality rate was higher in patients who had a history of cirrhosis and cancer, but was lower in patients with a history of coronary artery disease (p=0.0002, p&lt;0.0001 and p=0.04, respectively).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p><jats:bold>.<\/jats:bold> Severe hyponatraemia was more prevalent in women, serum sodium levels were higher in conscious patients, and the mortality rate was higher in patients who had a history of cirrhosis and cancer. We found that the mean serum sodium levels did not help in distinguishing between the deceased and discharged patients.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/nmji_632_20","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T09:53:52Z","timestamp":1703670832000},"page":"83-88","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective analysis of patients diagnosed with severe hyponatraemia in the emergency department"],"prefix":"10.25259","volume":"36","author":[{"given":"REFIKA","family":"SENDAG","sequence":"first","affiliation":[{"name":"Mersin City Education Research Hospital Emergency Service, Mersin University Medical Faculty, Mersin, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SEYRAN BOZKURT","family":"BABUS","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mersin University Medical Faculty, Mersin, 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