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| Formato: | Artículo científico |
| Lenguaje: | en |
| Publicado: |
Universidad Autónoma de Bucaramanga
2019
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| Acceso en línea: | https://www.redalyc.org/articulo.oa?id=71965087003 https://www.redalyc.org/journal/719/71965087003/ https://www.redalyc.org/journal/719/71965087003/html/ https://www.redalyc.org/journal/719/71965087003/71965087003.epub https://www.redalyc.org/journal/719/71965087003/movil https://doi.org/10.29375/01237047.3497 |
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| author | Juan José Diaztagle-Fernández |
| author_facet | Juan José Diaztagle-Fernández |
| contents | Association between hyponatremia, mortality and hospitalization in patients with acute decompensated Heart Failure Juan José Diaztagle-Fernández Walter Gabriel Chaves- Saltiago John Jaime Sprockel-Díaz Andrés David Acevedo-Velasco Fredy Hernán Rodríguez-Benítez Mario Fernando Benavides-Solarte María Angélica Rodríguez-Niño Medicina Prognosis Mortality Hyponatremia Heart failure Hospitalization Introduction. Hyponatremia is the most common electrolyte disorder in patients with chronic heart failure affecting up to 28% of patients at admission. It has been shown to be an independent predictor of mortality, extended length of hospital stay and rehospitalization. The objective is to evaluate the presence of hyponatremia in patients with decompensated heart failure and describe its relationship with length of hospital stay and mortality. Methodology. A prospective cohort study in patients hospitalized at internal medicine service at a high level of complexity hospital in Bogotá, Colombia diagnosed with decompensated heart failure between April 2011 and March 2012. Sodium was measured on admission, 72 hours and at the seventh day of hospitalization. We evaluated the association between hyponatremia at hospital admission, mortality at 30 days and length of hospital stay. Results. 162 patients were included with an average age of 72 years, 52.5% male. Forty-one (25.3%) had hyponatremia at admission. Among the patients with normal sodium at admission, 6 had hyponatremia at 72 hours and 2 at the seventh day. In- hospital mortality in the total population was 9.2%, in the hyponatremia group 12.2%, and 8.2% in those who did not have it (p = 0.45). The average length of hospital stay was higher in patients with hyponatremia, 6.6 vs 8.4 days (p = 0.12). Discussión. The incidence of hyponatremia at admission in this group of patients was similar to that reported in the literature. Conclusions. The results showed a trend towards higher mortality and hospital stay in patients with hyponatremia, even though it was not statistically significant. 2019 artículo científico 0123-7047 https://www.redalyc.org/articulo.oa?id=71965087003 https://www.redalyc.org/journal/719/71965087003/ https://www.redalyc.org/journal/719/71965087003/html/ https://www.redalyc.org/journal/719/71965087003/71965087003.epub https://www.redalyc.org/journal/719/71965087003/movil https://doi.org/10.29375/01237047.3497 en http://www.redalyc.org/revista.oa?id=719 MedUNAB application/pdf Universidad Autónoma de Bucaramanga MedUNAB (Colombia) Num.3 Vol.22 |
| format | Artículo científico |
| id | redalyc_71965087003 |
| language | en |
| publishDate | 2019 |
| publisher | Universidad Autónoma de Bucaramanga |
| spellingShingle | Association between hyponatremia, mortality and hospitalization in patients with acute decompensated Heart Failure Juan José Diaztagle-Fernández Medicina Prognosis Mortality Hyponatremia Heart failure Hospitalization Association between hyponatremia, mortality and hospitalization in patients with acute decompensated Heart Failure Juan José Diaztagle-Fernández Walter Gabriel Chaves- Saltiago John Jaime Sprockel-Díaz Andrés David Acevedo-Velasco Fredy Hernán Rodríguez-Benítez Mario Fernando Benavides-Solarte María Angélica Rodríguez-Niño Medicina Prognosis Mortality Hyponatremia Heart failure Hospitalization Introduction. Hyponatremia is the most common electrolyte disorder in patients with chronic heart failure affecting up to 28% of patients at admission. It has been shown to be an independent predictor of mortality, extended length of hospital stay and rehospitalization. The objective is to evaluate the presence of hyponatremia in patients with decompensated heart failure and describe its relationship with length of hospital stay and mortality. Methodology. A prospective cohort study in patients hospitalized at internal medicine service at a high level of complexity hospital in Bogotá, Colombia diagnosed with decompensated heart failure between April 2011 and March 2012. Sodium was measured on admission, 72 hours and at the seventh day of hospitalization. We evaluated the association between hyponatremia at hospital admission, mortality at 30 days and length of hospital stay. Results. 162 patients were included with an average age of 72 years, 52.5% male. Forty-one (25.3%) had hyponatremia at admission. Among the patients with normal sodium at admission, 6 had hyponatremia at 72 hours and 2 at the seventh day. In- hospital mortality in the total population was 9.2%, in the hyponatremia group 12.2%, and 8.2% in those who did not have it (p = 0.45). The average length of hospital stay was higher in patients with hyponatremia, 6.6 vs 8.4 days (p = 0.12). Discussión. The incidence of hyponatremia at admission in this group of patients was similar to that reported in the literature. Conclusions. The results showed a trend towards higher mortality and hospital stay in patients with hyponatremia, even though it was not statistically significant. 2019 artículo científico 0123-7047 https://www.redalyc.org/articulo.oa?id=71965087003 https://www.redalyc.org/journal/719/71965087003/ https://www.redalyc.org/journal/719/71965087003/html/ https://www.redalyc.org/journal/719/71965087003/71965087003.epub https://www.redalyc.org/journal/719/71965087003/movil https://doi.org/10.29375/01237047.3497 en http://www.redalyc.org/revista.oa?id=719 MedUNAB application/pdf Universidad Autónoma de Bucaramanga MedUNAB (Colombia) Num.3 Vol.22 |
| title | Association between hyponatremia, mortality and hospitalization in patients with acute decompensated Heart Failure |
| topic | Medicina Prognosis Mortality Hyponatremia Heart failure Hospitalization |
| url | https://www.redalyc.org/articulo.oa?id=71965087003 https://www.redalyc.org/journal/719/71965087003/ https://www.redalyc.org/journal/719/71965087003/html/ https://www.redalyc.org/journal/719/71965087003/71965087003.epub https://www.redalyc.org/journal/719/71965087003/movil https://doi.org/10.29375/01237047.3497 |