Hyponatremia as a fall predictor in a geriatric trauma population

Rittenhouse, Katelyn J.; To, T.; Rogers, Alan R.; Wu, Daniel; Horst, Michael; Edavettal, Mathew; Miller, JoAnn; Rogers, Frederick B.

doi:10.1016/j.injury.2014.06.013

Cited by 37 publications

(36 citation statements)

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“…That is, the Rotterdam study evaluated a prior hyponatremia parameter, which is associated with only a modest increased fracture risk, whereas Gankam et al measured a recent hyponatremia parameter, which carries a higher risk. Consistent with Kinsella et al (22) suggesting that hyponatremia is associated with fracture independent of osteoporosis, a study showing gait instability with hyponatremia (15), and recent studies showing hyponatremia as an independent predictor of falls in a geriatric population (16) and in hospitalized patients (17), our findings demonstrate that recent hyponatremia is an even greater risk factor for fragility fracture than prior hyponatremia alone. Thus, the association between hyponatremia and fragility fracture may not be merely related to chronic bone loss but also due to a more acute process, such as hyponatremiainduced gait instability leading to increased falls.…”

Section: Discussionsupporting

confidence: 92%

“…Furthermore, clinical studies indicate that acute hyponatremia can induce a broad spectrum of neurological manifestations, ranging from mild nonspecific symptoms to more significant disorders. The neurological dysfunctions associated with hyponatremia have been shown to include gait instability (15) and increased falls (16,17), both of which could compound patient fracture risk.…”

mentioning

confidence: 99%

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Hyponatremia Is Associated With Increased Osteoporosis and Bone Fractures in a Large US Health System Population

Usala

Fernandez

Méte

et al. 2015

The Journal of Clinical Endocrinology & Metabolism

114

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

Hyponatremia Is Associated With Increased Osteoporosis and Bone Fractures in a Large US Health System Population

Usala

Fernandez

Méte

et al. 2015

The Journal of Clinical Endocrinology & Metabolism

114

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“…Risk factors for falls were multifactorial 24 including age, cognitive status, previous falls, balance problems, medications, hyponatremia, problems with hearing or vision, home hazards, and osteoporosis 11,25,26 .…”

mentioning

confidence: 99%

Geriatric fall-related injuries

Hefny¹,

Abbas²,

Abu‐Zidan³

2016

Afr H. Sci.

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Background: Falls are the leading cause of geriatric injury. Objectives: We aimed to study the anatomical distribution, severity, and outcome of geriatric fall-related injuries in order to give recommendations regarding their prevention. Methods: All injured patients with an age ≥ 60 years who were admitted to Al-Ain Hospital or died in the Emergency Department due to falls were prospectively studied over a four year period. Results: We studied 92 patients. Fifty six of them (60.9%) were females. The mean (standard deviation) of age was 72.2 (9.6) years. Seventy three (89%) of all incidents occurred at home. Eighty three patients (90.2%) fell on the same level. The median (range) ISS was 4 (1-16) and the median GCS (range) was 15 (12-15). The lower limb was the most common injured body region (63%). There were no statistical significant differences between males and females regarding age, ISS, and hospital stay (p = 0.85, p = 0.57, and p = 0.35 respectively). Conclusion:The majority of geriatric fall-related injuries were due to fall from the same level at home. Assessment of risk factors for falls including home hazards is essential for prevention of geriatric fall-related injuries.

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“…To prevent further episodes of fall, correction of hyponatremia before discharge from hospital is mandatory. (7,8) All the above discussion is of data on western patients. There are no studies looking into the association of hyponatremia and fall in elderly in this part of the country.…”

Section: Discussionmentioning

confidence: 99%