Hypernatraemia in Childhood

Cockington, Richard A.; Gold, Hugo; Vonwiller, J. B.

doi:10.5694/j.1326-5377.1977.tb131277.x

Cited by 3 publications

(2 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most of the previous literature on hypernatremic dehydration is devoted to the pediatric age group, 11–14 in whom diarrheal illness is a common etiologic factor. A computer literature search found no studies that have been published examining the time course and pathophysiology of the development of hypernatremia in the elderly.…”

Section: Discussionmentioning

confidence: 99%

Hypernatremic Dehydration in Nursing Home Patients

Himmelstein

Jones

Woolhandler

1983

J American Geriatrics Society

117

View full text Add to dashboard Cite

In order to determine the antecedents of hypernatremic dehydration the authors reviewed the records of 56 patients with this condition at two public hospitals, one of which includes a large chronic care facility. Twenty-nine patients developed hypernatremic dehydration while at nursing homes. All cases came from proprietary nursing homes, although proprietaries account for only 88 per cent of nursing home beds in the community studied (P less than 0.05). There was a cluster of patients from two nursing homes. Sixteen patients admitted from home all showed evidence of inadequate care prior to admission. Eleven patients became hypernatremic while in acute care hospitals. No patient in the public chronic care facility developed hypernatremic dehydration during the period studied. The average serum sodium concentration of patients transferred from nursing homes was significantly higher than that of patients who developed hypernatremic dehydration at home or in acute care hospitals. It is concluded that hypernatremic dehydration in an institutionalized patient may be an indicator of inadequate care, which should prompt further investigation of the living conditions of the patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Hypernatremic Dehydration in Nursing Home Patients

Himmelstein

Jones

Woolhandler

1983

J American Geriatrics Society

117

View full text Add to dashboard Cite

show abstract

“…Most of the literature on the subject of hypernatremia is devoted to the pediatric age group (8–11), as the frequent occurrence of diarrheal illnesses in children often results in the syndrome of hypernatremic dehydration. In one series of infantile gastroenteritis, hypernatremia was present in over 50 per cent of cases (12).…”

Section: Discussionmentioning

confidence: 99%

Hypernatremia in the Elderly: Relation to Infection and Mortality

Mahowald

Himmelstein

1981

J American Geriatrics Society

View full text Add to dashboard Cite

The records of 23 elderly patients admitted to a county hospital with dehydration and hypernatremia were reviewed. One of these patients had the highest serum sodium level (202 mEq/L) reported in an adult. The overall mortality of 48 percent was not related to the degree of hypernatremia. However, two-thirds of the 17 patients with acute bacteria infections died, whereas all 5 noninfected patients survived. Infection was not always apparent at the time of admission to the hospital. It is proposed that early and appropriate antibiotic therapy may reduce the high mortality associated with hypernatremia in the elderly.

show abstract