Post-Hospital Syndrome and Hyponatremia
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http://hdl.handle.net/10045/117367
Title: | Post-Hospital Syndrome and Hyponatremia |
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Authors: | Bellod-Tonda, José | Blázquez-Encinar, Julio | Jover-Ríos, María Dolores | Seguí-Pérez, Carmen | Méndez-Mora, Juan | Caparrós-Hernández, Francisco | Méndez-Jover, Álex | Seguí-Pérez, Marc | Baláž, David | Espinosa del Barrio, Leticia | Corbacho-Redondo, Jesús | García-Cervera, Carles | Núñez-Cruz, Juan Manuel | Hernández-Isasi, Isidro | Guzmán-Martínez, Javier | Gómez-Uranga, Angie | Esteve-Atiénzar, Pedro | Peris-García, Jorge | Martínez-Sempere, Veronica | Damonte-White, Eliana | Ruiz-Ariza, Óscar Hernando | López-Corbalán, Juan Carlos | Lajara-Villar, Lourdes | Riaño-Pérez, Andrea | Chazarra-Pérez, Paloma | Escamilla-Espínola, María | Asensio-Tomás, Maria Luisa | Auladell-Alemany, Miguel Ángel | Serna-Torres, Laura | Pérez-Fullana, Asunción | Gómez-Siurana, Amparo | Menargues Irles, Sergio | Seguí-Ripoll, José Miguel |
Research Group/s: | Procesado y Pirólisis de Polímeros |
Center, Department or Service: | Universidad de Alicante. Departamento de Ingeniería Química |
Keywords: | Hospitalization | Hyponatremia | Patient Readmission | Inappropriate ADH Syndrome |
Knowledge Area: | Ingeniería Química |
Issue Date: | 20-Aug-2021 |
Publisher: | Scientific Research Publishing |
Citation: | Health. 2021, 13: 846-856. https://doi.org/10.4236/health.2021.138065 |
Abstract: | Introduction: Post-hospital syndrome (PHS) is defined as a period of vulnerability during the first 30 days after a patient is discharged from hospital, in which multiple factors come into play. Hyponatremia is the most frequent hydroelectrolytic disorder in hospitalized patients and may be related to the appearance of PHS. Objective: The objective is to estimate the prevalence of PHS that is assessed as the rate of readmissions in the first 30 days after discharge, in patients with hyponatremia. Material and Methods: It is a descriptive observational study of patients with hyponatremia who were discharged from 1 September 2010 to 2 February 2020 at the Internal Medicine Service of the Hospital University of San Juan (Alicante, Spain). Results: Of the 25 included patients, 5 (20%) were readmitted within a month of discharge, after a mean of 11.4 days (standard deviation [SD] 5.1). The overall mortality of the study was 20% (n = 5), with one case of death in the first 30 days post-hospitalization (4%). In 12 patients (48%) the origin of the hyponatremia was undetermined. The most frequently recorded etiology for the condition was pharmacological (n = 7, 28%), and there was pronounced variability in its clinical and laboratory study. The most widely used corrective measure was drug withdrawal, in 16 patients (64%). Water intake restriction was the most common treatment after discharge (5 patients, 20%), followed by urea (2 patients, 8%), while tolvaptan was not used. Conclusion: Hyponatremia may be the cause of PHS, which could increase the rate of early readmission. Hyponatremia is an underdiagnosed and undertreated entity, so it is necessary to apply an appropriate system to optimize its management and, in future studies, to assess its impact on PHS. |
URI: | http://hdl.handle.net/10045/117367 |
ISSN: | 1949-4998 (Print) | 1949-5005 (Online) |
DOI: | 10.4236/health.2021.138065 |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © 2021 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ |
Peer Review: | si |
Publisher version: | https://doi.org/10.4236/health.2021.138065 |
Appears in Collections: | INV - GTP3 - Artículos de Investigación sobre Procesado de Polímeros |
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File | Description | Size | Format | |
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Bellod-Tonda_etal_2021_Health.pdf | 306,85 kB | Adobe PDF | Open Preview | |
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