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Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department

This study was aimed at investigating the prevalence of hyponatremia in patients with intracapsular femoral neck fracture. All records containing clinical and laboratory information of patients admitted with femoral neck fractures to the Academic Hospital of Parma (Italy) during the year 2013 were r...

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Autores principales: Cervellin, Gianfranco, Mitaritonno, Michele, Pedrazzoni, Mario, Picanza, Alessandra, Lippi, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4179951/
https://www.ncbi.nlm.nih.gov/pubmed/25298896
http://dx.doi.org/10.1155/2014/397059
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author Cervellin, Gianfranco
Mitaritonno, Michele
Pedrazzoni, Mario
Picanza, Alessandra
Lippi, Giuseppe
author_facet Cervellin, Gianfranco
Mitaritonno, Michele
Pedrazzoni, Mario
Picanza, Alessandra
Lippi, Giuseppe
author_sort Cervellin, Gianfranco
collection PubMed
description This study was aimed at investigating the prevalence of hyponatremia in patients with intracapsular femoral neck fracture. All records containing clinical and laboratory information of patients admitted with femoral neck fractures to the Academic Hospital of Parma (Italy) during the year 2013 were retrieved from the hospital database. The control population consisted of subjects admitted to the outpatient phlebotomy center during the same period. The final population consisted of 543 patients with femoral neck fractures and 700 outpatients. The category of elderly subjects (i.e., ≥65 years) included 491 patients and 380 controls. In both the entire population and elderly subjects, serum sodium was lower in patients than in controls (138 versus 139 mmol/L, P < 0.001). The prevalence of hyponatremia was also higher in cases than in controls, both in the entire population (19.5 versus 10.4%, P < 0.001) and in elderly subjects (20.8 versus 11.8%, P < 0.001). The odds ratio of hyponatremia for femoral neck fracture was 2.08 in the entire study population and 1.95 in those aged 65 years and older. In conclusion, we found that hyponatremia is significantly associated with femoral neck fracture. Serum sodium should hence be regularly assessed and hyponatremia eventually corrected.
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spelling pubmed-41799512014-10-08 Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department Cervellin, Gianfranco Mitaritonno, Michele Pedrazzoni, Mario Picanza, Alessandra Lippi, Giuseppe Adv Orthop Research Article This study was aimed at investigating the prevalence of hyponatremia in patients with intracapsular femoral neck fracture. All records containing clinical and laboratory information of patients admitted with femoral neck fractures to the Academic Hospital of Parma (Italy) during the year 2013 were retrieved from the hospital database. The control population consisted of subjects admitted to the outpatient phlebotomy center during the same period. The final population consisted of 543 patients with femoral neck fractures and 700 outpatients. The category of elderly subjects (i.e., ≥65 years) included 491 patients and 380 controls. In both the entire population and elderly subjects, serum sodium was lower in patients than in controls (138 versus 139 mmol/L, P < 0.001). The prevalence of hyponatremia was also higher in cases than in controls, both in the entire population (19.5 versus 10.4%, P < 0.001) and in elderly subjects (20.8 versus 11.8%, P < 0.001). The odds ratio of hyponatremia for femoral neck fracture was 2.08 in the entire study population and 1.95 in those aged 65 years and older. In conclusion, we found that hyponatremia is significantly associated with femoral neck fracture. Serum sodium should hence be regularly assessed and hyponatremia eventually corrected. Hindawi Publishing Corporation 2014 2014-09-15 /pmc/articles/PMC4179951/ /pubmed/25298896 http://dx.doi.org/10.1155/2014/397059 Text en Copyright © 2014 Gianfranco Cervellin et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Cervellin, Gianfranco
Mitaritonno, Michele
Pedrazzoni, Mario
Picanza, Alessandra
Lippi, Giuseppe
Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_full Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_fullStr Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_full_unstemmed Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_short Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_sort prevalence of hyponatremia in femur neck fractures: a one-year survey in an urban emergency department
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4179951/
https://www.ncbi.nlm.nih.gov/pubmed/25298896
http://dx.doi.org/10.1155/2014/397059
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