RT Journal Article
T1 Hyponatraemia, mortality and haemodialysis: An unexplained association.
A1 Pérez-García, Rafael
A1 Palomares, Inés
A1 Merello, José Ignacio
A1 Ramos, Rosa
A1 Maduell, Francisco
A1 Molina, Manolo
A1 Aljama, Pedro
A1 Marcelli, Daniele
A1 ORD Group, 
K1 Diabetes
K1 Haemodialysis
K1 Hemodiálisis
K1 Hiponatremia
K1 Hyponatraemia
K1 Mortalidad
K1 Mortality
K1 Natremia
K1 Serum sodium
AB As in the general population, in patients on haemodialysis (HD) hyponatraemia is associated with higher mortality risk. The objective of this article was to study the relationship between predialysis serum sodium (sNa) and mortality in an HD population. We also intended to define hyponatraemia and determine the characteristics of hyponatraemic patients in terms of anthropometric data, analytical features, dialysis measurements and hydration (bioimpedance). Observational, descriptive study of a cohort of HD incident patients. The independent variable was the mean of each patient's sNa analysed during their first 6 months on HD. A total of 4,153 patients were included in the study. Mean age was 64.7 years; 65.2% of the patients were male and 35% were diabetics. Mean follow-up time was 21.48 (SD) (1.31) months. sNa had a normal distribution, with a mean (SD)=138.46 (2.7) mEq/l. Body weight, diabetes mellitus, systolic blood pressure, interdialytic weight gain, total ultrafiltration, serum glucose, albumin and creatinine, vascular access and haemodialysis type, acquire significant differences between sodium quartiles. Lean tissue index (LTI) in patients with low serum sodium, Q1 (135 mEq/l), was significantly lower than the LTI of patients from the other serum sodium quartiles. Patients with sNa HD patients with hyponatraemia patients have a poor prognosis and present malnutrition or fluid overload.
YR 2015
FD 2015-12-03
LK http://hdl.handle.net/10668/9659
UL http://hdl.handle.net/10668/9659
LA en
LA es
DS RISalud
RD Apr 7, 2025