Organ support & nutrition

Effects of correction rate for severe hyponatremia in the intensive care unit on patient outcomes

J Crit CarePublished Retrospective cohort study

Main findingResult — go to the resultAbsolute difference −4.37 % 95% CI −8.47 to −0.26%

Authors' conclusion

Rapid correction (>8 mEq/L/day) of severe hyponatremia within the first 24 h was associated with lower in-hospital mortality and longer ICU and hospital-free days without an increase in neurological complication.

Study context

Population
ICU patients with sodium ≤120 mEq/L during ICU admission
Participants
1,024 patients
Exposure
Rapid vs slow correction of severe hyponatremia over the first 24 h
  • Rapidn = 451
  • Slown = 573reference
Outcome
In-hospital mortality
Methodological detailsmulticentre ICU database, inverse probability weighting
  • Multicentre ICU database
  • Inverse probability weighting

Main finding

As reported in the abstract

Absolute difference

−4.37 %

95% CI −8.47 to −0.26%

Rapid vs Slow
absolute difference −4.37 % (95% CI −8.47 to −0.26%)

Observational data: associations, not effects.

Secondary outcomes

OutcomeDays
Hospital-free days1.80 (95% CI 0.82 to 2.79 days)
ICU-free days1.16 (95% CI 0.15 to 2.17 days)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Effects of correction rate for severe hyponatremia in the intensive care unit on patient outcomes. J Crit Care. Published 13 May 2023. doi:10.1016/j.jcrc.2023.154325

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