Age&Ageing:与年轻患者相比,老年住院患者低钠血症的积极管理和死亡率

2021-07-24 MedSci原创 MedSci原创

尽管低钠血症治疗的比例较高,但与年龄较大的对照组相比,老年低钠血症患者的院内死亡风险增加。

低血钠症是人体血液中的钠含量过低时,所引起的临床病征。低血钠定义为血中钠离子浓度低于135 mmol/L(135 mEq/L),若低于120 mEql/L,则为重度低血钠症。轻度的低血钠症可能没有任何症状;中度则可能伴随有无法思考、头痛、晕眩以及失去平衡;更严重的重度低血钠症包括会使患者产生谵妄、癫痫还有中风。

低血钠症的病因一般会依血容量多少而区分为血容量少、血容量正常及血容量过多三种。低血容量的低血钠症可能是因为腹泻、呕吐、利尿剂或是流汗所造成。正常血容量的低血钠症又可分为尿液清澈以及尿液浓稠两种。

尿液清澈的低血钠症可能是因为肾上腺功能不全、甲状腺机能低下症、喝太多水或是喝啤酒过量;尿液浓稠的低血钠症可能和抗利尿激素不当分泌综合征(SIADH)有关。高血容量的低血钠症可能是因为心脏衰竭、肝衰竭或是肾功能衰竭。

在住院的病患中,有20%有低血钠症的症状,在进行耐力运动中或运动后出现低血钠症的约有10%。针于住院的病患而言,低血钠症会增加死亡风险。美国在低血钠症的花费成本估计有美金26亿元。

低钠血症与发病率和死亡率的增加有关;老年患者低钠血症的病因和结果还没有在前瞻性研究中得到界定。为此,来自爱尔兰RCSI医学院和博蒙特医院内分泌的专家开展了相关研究,结果发表在Age and Ageing杂志上。

这是一项为期9个月的单中心前瞻性观察研究,分析了≥65岁(老年低钠血症患者(OP-HN))和<65岁(年轻低钠血症患者(YP-HN))的低钠血症住院患者的临床结果,并与无钠血症对照组(老年正常血症患者(OP-NN)和年轻正常血症患者(YP-NN))进行比较。

最终总共包括1086名患者的1321次低钠血症发作;437名YP-HN,中位年龄54岁,884名OP-HN,中位年龄77岁。同时还招募了1120名连续贫血的对照组患者;690名OP-NN,中位年龄77岁,430名YP-NN,中位年龄52岁。

正常血容量性低钠血症是两个年龄组中最常见的低钠血症原因(YP-HN为48%,OP-HN为46%)。62%的OP-HN在最初的48小时内接受了针对低钠血症的治疗,而YP-HN为55%。尽管OP-HN的治疗率较高,但与老年患者相比,年轻患者出院时血浆钠浓度(pNa)正常的可能性高出24%,相对风险(RR)为1.24(95%CI:1.12-1.37)。

以OP-NN为参照组,OP-HN的院内死亡RR为2.15(95% CI 1.3-3.56)。以YP-NN为参照组,YP-HN的院内死亡RR为4.34(95% CI 1.98-9.56)。

尽管低钠血症治疗的比例较高,但与年龄较大的对照组相比,老年低钠血症患者的院内死亡风险增加。

 

参考文献:

Active management of hyponatraemia and mortality in older hospitalised patients compared with younger patients: results of a prospective cohort study, Age and Ageing, Volume 50, Issue 4, July 2021, Pages 1144–1150, https://doi.org/10.1093/ageing/afaa248

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    如何判断高血容量还是低血容量

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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=921c5506134, createdName=ms9000000518928475, createdTime=Sat Jul 24 22:39:05 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-26 zz12341238
  5. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=921c5506134, createdName=ms9000000518928475, createdTime=Sat Jul 24 22:39:05 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-25 土豆你个马铃薯

    鳄鱼图普通

    0

  6. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=921c5506134, createdName=ms9000000518928475, createdTime=Sat Jul 24 22:39:05 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-24 涓涓细流**j

    学习了

    0

  7. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=921c5506134, createdName=ms9000000518928475, createdTime=Sat Jul 24 22:39:05 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-24 涓涓细流**j

    学习学习

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