Characteristics | All patients (n = 92) | Salt overload (n = 20) | Dehydration (n = 65) | Central diabetes insipidus (n = 5) | Nephrogenic diabetes insipidus (n = 2)a |
---|---|---|---|---|---|
Percentage of total cohort | 100 | 22 | 71 | 5 | 2 |
Median (IQR) age, years | 76 (64–81) | 69 (63–77) | 78 (67–82) | 66 (54–70) | 64 |
Female sex, n (%) | 41 (45) | 8 (40) | 29 (45) | 4 (80) | 0 (0) |
Hypernatraemia development during hospitalisation, n (%) | 58 (63) | 20 (100) | 35 (54) | 1 (20) | 2 (100) |
SAPS II scoreb | 49 (41–59) | 45 (38–57) | 51 (42–59) | 31 (20–58) | 60 |
Median [IQR] laboratory variables | |||||
Plasma sodium, mmol/L | 159 (157–161) | 157 (156–160) | 160 (158–161) | 158 (157–159) | 157 |
Copeptin, pmol/L | 51.76 (31.71–78.71) | 54.95 (35.01–71.70) | 53.19 (34.39–85.95) | 3.39 (1.99–3.90) | 77.75 |
Plasma osmolality, mmol/kg | 347.5 (331–371.8) | 361.5 (342.2–366.5) | 349 (331–382) | 346 (340–351) | 337 |
Urine osmolality, mmol/L | 510 (413–647)c | 510 (462–819) | 546 (463–647) | 249 (216.3–280.8) | 284.5 |
Urine sodium, mmol/L | 60 (28–96.5) | 78 (61–107) | 49.6 (28.3–102.4) | 33 (31–34) | 77 |
Creatinine, μmol/L | 121 (82–177.3) | 129.5 (91–188) | 119.5 (84.5–173.5) | 67.5 (61.8–81.0) | 317 |
eGFR, ml/min/1.73 m2 | 45.2 (25.8–66.9) | 45.9 (25.2–60.7) | 45.0 (26.4–66.6) | 97.1 (48.6–110.5) | 17.0 |
Urea, mmol/L | 18.2 (12.5–31.6) | 19.8 (15.8–34.3) | 18.1 (12.8–30.6) | 4 (3.1–3.7) | 15.3 |
Uric acid, μmol/L | 426.5 (306.5–634.8) | 403 (323.5–544.5) | 472 (304.8–769.5) | 282 (263–296.5) | 485 |
Median (IQR) vital signs | |||||
Systolic blood pressure, mmHg | 130 (116–143) | 130 (120–143) | 129 (114–143) | 129 (117–138) | 112 |
Diastolic blood pressure, mmHg | 68 (56–80) | 65 (51–80) | 70 (57–80) | 64 (53–78) | 58 |
Heart rate, beats/minute | 90 (80–104) | 88 (75–91) | 90 (80–109) | 88 (77–110) | 104 |
Temperature, °C | 37.7 (36.9–38.2) | 37.5 (37.0–38.0) | 37.8 (36.9–38.2) | 37.8 (37.7–38.0) | 37.8 |
Glasgow Coma Scale score | 13 (9–14) | 13 (10–14) | 13 (9–14) | 14 (13–14) | 6 |
Volaemic status, n (%) | |||||
Hypovolaemic | 63 (68) | 3 (15) | 55 (85) | 4 (80) | 1 (50) |
Euvolaemic | 15 (16) | 5 (25) | 8 (12) | 1 (20) | 1 (50) |
Hypervolaemic | 14 (15) | 12 (60) | 2 (3) | 0 (0) | 0 (0) |