Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department

This study was aimed at investigating the prevalence of hyponatremia in patients with intracapsular femoral neck fracture. All records containing clinical and laboratory information of patients admitted with femoral neck fractures to the Academic Hospital of Parma (Italy) during the year 2013 were r...

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Main Authors: Gianfranco Cervellin, Michele Mitaritonno, Mario Pedrazzoni, Alessandra Picanza, Giuseppe Lippi
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/397059
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author Gianfranco Cervellin
Michele Mitaritonno
Mario Pedrazzoni
Alessandra Picanza
Giuseppe Lippi
author_facet Gianfranco Cervellin
Michele Mitaritonno
Mario Pedrazzoni
Alessandra Picanza
Giuseppe Lippi
author_sort Gianfranco Cervellin
collection DOAJ
description This study was aimed at investigating the prevalence of hyponatremia in patients with intracapsular femoral neck fracture. All records containing clinical and laboratory information of patients admitted with femoral neck fractures to the Academic Hospital of Parma (Italy) during the year 2013 were retrieved from the hospital database. The control population consisted of subjects admitted to the outpatient phlebotomy center during the same period. The final population consisted of 543 patients with femoral neck fractures and 700 outpatients. The category of elderly subjects (i.e., ≥65 years) included 491 patients and 380 controls. In both the entire population and elderly subjects, serum sodium was lower in patients than in controls (138 versus 139 mmol/L, P<0.001). The prevalence of hyponatremia was also higher in cases than in controls, both in the entire population (19.5 versus 10.4%, P<0.001) and in elderly subjects (20.8 versus 11.8%, P<0.001). The odds ratio of hyponatremia for femoral neck fracture was 2.08 in the entire study population and 1.95 in those aged 65 years and older. In conclusion, we found that hyponatremia is significantly associated with femoral neck fracture. Serum sodium should hence be regularly assessed and hyponatremia eventually corrected.
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spelling doaj-art-d4bdce2d5f204f1eaa2ddce44fea37482025-08-20T02:20:00ZengWileyAdvances in Orthopedics2090-34642090-34722014-01-01201410.1155/2014/397059397059Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency DepartmentGianfranco Cervellin0Michele Mitaritonno1Mario Pedrazzoni2Alessandra Picanza3Giuseppe Lippi4Emergency Department, Academic Hospital of Parma, Via Gramsci 14, 43126 Parma, ItalyEmergency Department, Academic Hospital of Parma, Via Gramsci 14, 43126 Parma, ItalyDepartment of Internal Medicine, University of Parma, 43126 Parma, ItalyLaboratory of Clinical Chemistry and Hematology, Academic Hospital of Parma, 43126 Parma, ItalyLaboratory of Clinical Chemistry and Hematology, Academic Hospital of Parma, 43126 Parma, ItalyThis study was aimed at investigating the prevalence of hyponatremia in patients with intracapsular femoral neck fracture. All records containing clinical and laboratory information of patients admitted with femoral neck fractures to the Academic Hospital of Parma (Italy) during the year 2013 were retrieved from the hospital database. The control population consisted of subjects admitted to the outpatient phlebotomy center during the same period. The final population consisted of 543 patients with femoral neck fractures and 700 outpatients. The category of elderly subjects (i.e., ≥65 years) included 491 patients and 380 controls. In both the entire population and elderly subjects, serum sodium was lower in patients than in controls (138 versus 139 mmol/L, P<0.001). The prevalence of hyponatremia was also higher in cases than in controls, both in the entire population (19.5 versus 10.4%, P<0.001) and in elderly subjects (20.8 versus 11.8%, P<0.001). The odds ratio of hyponatremia for femoral neck fracture was 2.08 in the entire study population and 1.95 in those aged 65 years and older. In conclusion, we found that hyponatremia is significantly associated with femoral neck fracture. Serum sodium should hence be regularly assessed and hyponatremia eventually corrected.http://dx.doi.org/10.1155/2014/397059
spellingShingle Gianfranco Cervellin
Michele Mitaritonno
Mario Pedrazzoni
Alessandra Picanza
Giuseppe Lippi
Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
Advances in Orthopedics
title Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_full Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_fullStr Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_full_unstemmed Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_short Prevalence of Hyponatremia in Femur Neck Fractures: A One-Year Survey in an Urban Emergency Department
title_sort prevalence of hyponatremia in femur neck fractures a one year survey in an urban emergency department
url http://dx.doi.org/10.1155/2014/397059
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