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• W1986595633 abstract "HYPONATREMIA; A RISK FACTOR FOR IN-HOSPITAL FALLS Nijal Sheth, Alan Dubrow, Maria Kassab, Eliot Charen, James F. Winchester, Beth Israel Medical Center, New York, New York. Others have recently reported that hyponatremia (serum sodium < 138 meq/L) is associated with out-patient falls as well as in-hospital and long term mortality. We hypothesized that hyponatremia would be a risk factor for in-hospital falls as well, a finding which would significantly impact morbidity as well as cost of care. We investigated all patients who fell at our hospital from 01/01/10 to 07/21/10 for serum sodium, medications with possibility of affecting serum sodium concentration and can cause fall, and co morbidities (cancer, CHF, DM, cirrhosis, HIV, ESRD). Fall data was obtained from incident reports. The data regarding patients with hyponatremia was gathered through ICD 9 discharge coding. From a total of 24,494 admissions (excluding pediatrics, Obstetrics-Gynecology, and intensive care units admissions) there were 73 hyponatremic patients (serum sodium <135) who fell. Odds Ratio of in-hospital fall if hyponatremic was 24.97(18.74 – 33.27, 95% confidence interval) and the P value using chi-square with Yates correction was < 0.0001. Among the hyponatremics mean serum sodium was 131.87meq/L and, mean age was 67.09 years. Additionally from all hyponatremics who fell there were twice as many men as women. There was no significant difference in terms of medications or co morbidities between hyponatremics and normonatremics who fell. Hyponatremics Normonatremics Total Fall 73 313 386 No Fall 223 23,882 24,105 Total 296 24,195 24,494 In conclusion, mild hyponatremia which might be unrecognized in the elderly significantly increases the incidence of in-hospital falls. We plan to initiate a prospective investigation to determine impact of hyponatremia correction in reducing the incidence of in-hospital falls." @default.
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• W1986595633 date "2011-04-01" @default.
• W1986595633 modified "2023-09-27" @default.
• W1986595633 title "285 Hyponatremia; A Risk Factor for In-Hospital Falls" @default.
• W1986595633 doi "https://doi.org/10.1053/j.ajkd.2011.02.288" @default.
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