| Evaluation of serum and whole blood sodium critical values. | |
| | |
MedLine Citation:
|
PMID: 17145633 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Laboratories are required to have a critical values policy as a patient safety measure. Serum sodium commonly is included in critical results lists, but a wide range of values are used. We studied all critical serum and whole blood sodium results called to clinicians during a 6-month period. Patients' electronic medical records were reviewed for clinical responses and patient outcomes. Of the 111,545 sodium results occurring during the study, 615 (0.6%) were critical. By using criteria of 120 mEq/L (120 mmol/L) or less and 155 mEq/L (155 mmol/L) or more, we found 166 critically low results and 447 critically high results. In hypernatremic and hyponatremic patients, the lengths of stay were increased above our average, and clinicians responded to more than 50% of results within 4 hours. The mortality rates of hyponatremic and hypernatremic inpatients were 19% and 48%, respectively. Disease severity as measured by length of stay and mortality indicated these critical limits should not be broadened. |
| | |
Authors:
|
Joan H Howanitz; Peter J Howanitz |
Related Documents
:
|
21457743 - Increased plasma levels of thioredoxin-1 in patients with first episode psychosis and l... 2651003 - Sepsis syndrome: a valid clinical entity. methylprednisolone severe sepsis study group. 449143 - Follow-up of 514 consecutive patients with cardiopulmonary arrest outside the hospital. |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: American journal of clinical pathology Volume: 127 ISSN: 0002-9173 ISO Abbreviation: Am. J. Clin. Pathol. Publication Date: 2007 Jan |
Date Detail:
|
Created Date: 2006-12-05 Completed Date: 2007-02-05 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370470 Medline TA: Am J Clin Pathol Country: United States |
Other Details:
|
Languages: eng Pagination: 56-9 Citation Subset: AIM; IM |
Affiliation:
|
Dept of Pathology, SUNY Downstate, New York, NY, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Clinical Chemistry Tests / standards* Critical Illness Humans Hypernatremia / blood*, mortality Hyponatremia / blood*, mortality Infant Middle Aged Reference Values Serum / chemistry Sodium / blood* |
| Chemical | |
Reg. No./Substance:
|
7440-23-5/Sodium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Hemolysis in double-filtration plasmapheresis.
Next Document: Can core biopsy reliably diagnose mucinous lesions of the breast?