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10.1530/EJE-20-1374

http://scihub22266oqcxt.onion/10.1530/EJE-20-1374
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33449918!9494345!33449918
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suck abstract from ncbi


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pmid33449918      Eur+J+Endocrinol 2021 ; 184 (3): 409-418
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  • Prevalence and outcome of dysnatremia in patients with COVID-19 compared to controls #MMPMID33449918
  • Atila C; Sailer CO; Bassetti S; Tschudin-Sutter S; Bingisser R; Siegemund M; Osswald S; Rentsch K; Rueegg M; Schaerli S; Kuster GM; Twerenbold R; Christ-Crain M
  • Eur J Endocrinol 2021[Mar]; 184 (3): 409-418 PMID33449918show ga
  • OBJECTIVE: The pandemic of coronavirus disease (COVID-19) has rapidly spread globally and infected millions of people. The prevalence and prognostic impact of dysnatremia in COVID-19 is inconclusive. Therefore, we investigated the prevalence and outcome of dysnatremia in COVID-19. DESIGN: The prospective, observational, cohort study included consecutive patients with clinical suspicion of COVID-19 triaged to a Swiss Emergency Department between March and July 2020. METHODS: Collected data included clinical, laboratory and disease severity scoring parameters on admission. COVID-19 cases were identified based on a positive nasopharyngeal swab test for SARS-CoV-2, patients with a negative swab test served as controls. The primary analysis was to assess the prognostic impact of dysnatremia on 30-day mortality using a cox proportional hazard model. RESULTS: 172 (17%) cases with COVID-19 and 849 (83%) controls were included. Patients with COVID-19 showed a higher prevalence of hyponatremia compared to controls (28.1% vs 17.5%, P < 0.001); while comparable for hypernatremia (2.9% vs 2.1%, P = 0.34). In COVID-19 but not in controls, hyponatremia was associated with a higher 30-day mortality (HR: 1.4, 95% CI: 1.10-16.62, P = 0.05). In both groups, hypernatremia on admission was associated with higher 30-day mortality (COVID-19 - HR: 11.5, 95% CI: 5.00-26.43, P < 0.001; controls - HR: 5.3, 95% CI: 1.60-17.64, P = 0.006). In both groups, hyponatremia and hypernatremia were significantly associated with adverse outcome, for example, intensive care unit admission, longer hospitalization and mechanical ventilation. CONCLUSION: Our results underline the importance of dysnatremia as predictive marker in COVID-19. Treating physicians should be aware of appropriate treatment measures to be taken for patients with COVID-19 and dysnatremia.
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/complications/*diagnosis/*epidemiology/therapy[MESH]
  • |Case-Control Studies[MESH]
  • |Cohort Studies[MESH]
  • |Critical Care/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Hospital Mortality[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Hypernatremia/complications/*diagnosis/*epidemiology/therapy[MESH]
  • |Hyponatremia/complications/*diagnosis/*epidemiology/therapy[MESH]
  • |Length of Stay/statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mortality[MESH]
  • |Pandemics[MESH]
  • |Prevalence[MESH]
  • |Prognosis[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Switzerland/epidemiology[MESH]


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