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Hyponatremia upon presentation to the emergency department - the need for urgent neuroimaging studies.


ABSTRACT: This study aims to evaluate the necessity of urgent neuroimaging for emergency admissions exhibiting symptomatology of profound hyponatremia. We retrospectively analyzed the medical records of all patients admitted to the emergency room of the University Hospital Münster from 2010 to 2014 with a serum sodium value < 125?mmol/L. From 52918 emergency admissions, 261 patients with profound hyponatremia were identified, of whom 140 (54%) had neurological symptoms. Unspecific weakness and confusion were the most prevalent of these symptoms (59%). Focal neurological signs [FNS] were present in 31% of cases and neuroimaging was performed in 68% (95/140) of symptomatic patients. Multiple logistic regression analysis identified FNS, seizures, altered consciousness and age as independent predictors for conducting neuroimaging (all p?

SUBMITTER: Bokemeyer A 

PROVIDER: S-EPMC5434027 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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Hyponatremia upon presentation to the emergency department - the need for urgent neuroimaging studies.

Bokemeyer Arne A   Dziewas Rainer R   Wiendl Heinz H   Schwindt Wolfram W   Bicsán Paul P   Kümpers Philipp P   Pavenstädt Hermann H  

Scientific reports 20170516 1


This study aims to evaluate the necessity of urgent neuroimaging for emergency admissions exhibiting symptomatology of profound hyponatremia. We retrospectively analyzed the medical records of all patients admitted to the emergency room of the University Hospital Münster from 2010 to 2014 with a serum sodium value < 125 mmol/L. From 52918 emergency admissions, 261 patients with profound hyponatremia were identified, of whom 140 (54%) had neurological symptoms. Unspecific weakness and confusion w  ...[more]

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2020-01-01 | GSE119217 | GEO