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The Impact of a Standardized Sodium Protocol on Incidence and Outcome of Dysnatremias in Neurocritical Care

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F15%3A10295808" target="_blank" >RIV/00216208:11110/15:10295808 - isvavai.cz</a>

  • Alternative codes found

    RIV/61383082:_____/15:#0000360

  • Result on the web

    <a href="http://dx.doi.org/10.1055/s-0034-1393927" target="_blank" >http://dx.doi.org/10.1055/s-0034-1393927</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1055/s-0034-1393927" target="_blank" >10.1055/s-0034-1393927</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    The Impact of a Standardized Sodium Protocol on Incidence and Outcome of Dysnatremias in Neurocritical Care

  • Original language description

    Background: Dysnatremias are common and prognostically serious in neurocritical care. We studied whether a standardized sodium protocol would improve our neurocritical care of dysnatremias. Methods: A 5-year prospective study of a standardized sodium protocol for 1,560 patients admitted with various brain diseases in an adult neurologic-neurosurgical intensive care unit (NNICU) was compared with a 5-year retrospective analysis of 1,440 patients without the sodium protocol. Hyponatremia was defined as serum sodium (SNa+)<135 mmol/L and hypernatremia SNa+>150 mmol/L. The sodium protocol involved measuring SNa+, serum, and urine osmolality, measured and calculated renal function parameters, fluid intake 40 mL/kg weight/day without hypotonic saline, thiazide, and desmopressin acetate in all normonatremic NNICU patients. Conclusions: The standard sodium protocol lowered the frequency of SIADH, which was encountered in only one patient over 5 years. However, it did not significantly reduce t

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

  • CEP classification

    FH - Neurology, neuro-surgery, nuero-sciences

  • OECD FORD branch

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2015

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Journal of neurological surgery. Part A, Central European neurosurgery

  • ISSN

    2193-6315

  • e-ISSN

  • Volume of the periodical

    76

  • Issue of the periodical within the volume

    4

  • Country of publishing house

    DE - GERMANY

  • Number of pages

    12

  • Pages from-to

    279-290

  • UT code for WoS article

    000357518100004

  • EID of the result in the Scopus database

    2-s2.0-84953866194