| Hip fracture post-operation dysnatremia and Na(+)-courses in different cognitive and functional patient groups. | |
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MedLine Citation:
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PMID: 21067828 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Yichayaou Beloosesky; Avital Hershkovitz; Benyamin Solovey; Moshe Salai; Avraham Weiss |
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Publication Detail:
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Type: Journal Article Date: 2010-11-09 |
Journal Detail:
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Title: Archives of gerontology and geriatrics Volume: 53 ISSN: 1872-6976 ISO Abbreviation: Arch Gerontol Geriatr Publication Date: 2011 Sep-Oct |
Date Detail:
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Created Date: 2011-07-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8214379 Medline TA: Arch Gerontol Geriatr Country: Netherlands |
Other Details:
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Languages: eng Pagination: 179-82 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Geriatrics, Rabin Medical Center, Beilinson Hospital, Sackler School of Medicine, Tel Aviv University, 39 Jabotinski St., Petah Tikva 49100, Israel. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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