Prevalence of mild hyponatremia and its association with falls in older adults admitted to an emergency geriatric medicine unit (the MUPA unit)

Autor: Muriel Castelli, Sophie Boyer, Patrick Kajeu, Thomas Mergans, Caroline Gayot, Charlotte Bimou, Thierry Dantoine, Achille Edem Tchalla
Přispěvatelé: Handicap, Activité, Vieillissement, Autonomie, Environnement (HAVAE), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Pediatrics
[SDV]Life Sciences [q-bio]
030232 urology & nephrology
Poison control
Falls in older adults
MESH: Hospitalization
lcsh:Geriatrics
Fractures
Bone
Patient Admission
0302 clinical medicine
MESH: Aged
80 and over
Risk Factors
MESH: Risk Factors
Activities of Daily Living
Prevalence
030212 general & internal medicine
Older adult
MESH: Geriatric Assessment
Aged
80 and over
Geriatrics
MESH: Aged
Mild hyponatremia
MESH: Accidental Falls
3. Good health
Hospitalization
MESH: Emergency Service
Hospital
Female
Falls
France
Emergency Service
Hospital
Hyponatremia
Research Article
Fall prevention
medicine.medical_specialty
03 medical and health sciences
MESH: Cross-Sectional Studies
medicine
Humans
Risk factor
Geriatric Assessment
MESH: Prevalence
Aged
MESH: Humans
business.industry
Emergency department
MESH: Patient Admission
Prevention
MESH: Activities of Daily Living
nutritional and metabolic diseases
MESH: Fractures
Bone
Odds ratio
medicine.disease
MESH: Male
MESH: France
lcsh:RC952-954.6
Cross-Sectional Studies
MESH: Hyponatremia
Accidental Falls
Geriatrics and Gerontology
business
MESH: Female
Zdroj: BMC Geriatrics
BMC Geriatrics, BioMed Central, 2019, 19 (1), pp.265. ⟨10.1186/s12877-019-1282-0⟩
BMC Geriatrics, Vol 19, Iss 1, Pp 1-6 (2019)
ISSN: 1471-2318
DOI: 10.1186/s12877-019-1282-0⟩
Popis: Background Hyponatremia is the most common electrolyte disorder in older adults and it can increase morbidity and mortality. Approximately one in three older adults fall each year; mild chronic hyponatremia can predispose this group to injurious falls and fractures and serum levels of sodium can also influence bone health. Little is known regarding the association between mild chronic hyponatremia and injurious fall prevalence in elderly patients admitted to the Emergency Department (ED). Therefore, the present study investigated the link between mild hyponatremia and the risk of injurious falls in elderly patients admitted to the Emergency Geriatric Medicine Unit (The MUPA Unit). Methods This cross-sectional study was conducted over 4 months and included patients ≥75 years of age who were admitted to the MUPA Unit of University Hospital Center of Limoges (France). Sociodemographic factors, fall events, comorbidities, medications, and sodium levels were assessed (hyponatremia was considered as sodium level < 136 mEq/L). Additionally, the short Comprehensive Geriatric Assessment (short-CGA), the Frailty score on the Short Emergency Geriatric Assessment (SEGA), and the Katz Activity of Daily Living (ADL) scale were administered. Results Of the 696 cases included in the final analysis, the mean age was 86.1 ± 5.6 years and 63.1% were female. The prevalence of falls was 27.9% (95% confidence interval [CI]: 24.6–31.2%) and that of mild hyponatremia was 15.9% (95% CI: 13.2–18.6%). The prevalence rate of mild hyponatremia was 13.2% (95% CI: 10.1–16.3%) in patients without falls and 26.1% (95% CI: 19.8–32.4%) in patients admitted for falls. Mild hyponatremia was significantly associated with falls (P < 0.001) and the adjusted odds ratio (OR) was 3.02 (95% CI: 1.84–4.96). Conclusions Because mild hyponatremia might be a risk factor for injurious falls and ED admission, determination of sodium levels during basic biomarker assessment on ED admission could be an important component of fall prevention strategies for the elderly.
Databáze: OpenAIRE
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