Document Detail

Hip fracture post-operation dysnatremia and Na(+)-courses in different cognitive and functional patient groups.
MedLine Citation:
PMID:  21067828     Owner:  NLM     Status:  In-Data-Review    
The aim of the study was to investigate Na(+)-course of hip fracture patients in relation to demographic and clinical parameters. Data on 155 older hip fracture patients were analyzed retrospectively. Clinical parameters and serum Na(+) on admission (Na1), during 24h pre-op. (Na2), during 24h post-op. (Na3), and pre-discharge (Na4) were recorded. Hyponatremia and hypernatremia rates pre- and post-operation were 26.5%, 2.6%, 24.5% and 5.8%. Higher Na3 (138.76±4.4mEq/l) vs. Na1 (137.69±4.5mEq/l) (p=0.004) and correlation between age and Na3 (p=0.021) was found. Mean serum Na(+) of impaired mental status (IMS) vs. normal patients and of partially/independent vs. dependent patients were higher (p<0.05). More complications occurred in IMS patients tending to higher Na3 in patients with complications. No differences in Na(+)-courses were found according to sex or co-morbidities. Dysnatremia is highly prevalent in older hip fracture patients. A distinct post-operative increase in serum Na(+) was found, higher in the cognitively and functionally impaired patients. It seems that the Na(+) increase characterizes more IMS patients who suffer more complications, but does not necessarily indicate complications. We recommend surveillance of serum Na(+), particularly in cognitively and functionally impaired older patients in whom the risk of hypernatremia and complications is higher.
Yichayaou Beloosesky; Avital Hershkovitz; Benyamin Solovey; Moshe Salai; Avraham Weiss
Related Documents :
15755408 - Derangement, osteoarthritis, and rheumatoid arthritis of the temporomandibular joint: i...
17665778 - Chronic knee effusions in patients with advanced osteoarthritis: implications for funct...
8346758 - Arthroscopic treatment of glenoid labral tears.
18722298 - Impact of payer type on resource utilization, outcomes and access to care in total hip ...
6600378 - Control of variceal bleeding. reassessment of rationale.
25312988 - Are there imaging characteristics associated with lung adenocarcinomas harboring alk re...
Publication Detail:
Type:  Journal Article     Date:  2010-11-09
Journal Detail:
Title:  Archives of gerontology and geriatrics     Volume:  53     ISSN:  1872-6976     ISO Abbreviation:  Arch Gerontol Geriatr     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-07-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8214379     Medline TA:  Arch Gerontol Geriatr     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  179-82     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Department of Geriatrics, Rabin Medical Center, Beilinson Hospital, Sackler School of Medicine, Tel Aviv University, 39 Jabotinski St., Petah Tikva 49100, Israel.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Impact of social connections on risk of heart disease, cancer, and all-cause mortality among elderly...
Next Document:  MK-0677 (ibutamoren mesylate) for the treatment of patients recovering from hip fracture: A multicen...