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This study aimed to examine the prognostic value of hyponatremia among elderly residents in a geriatric facility.Methods We retrospectively examined the association between serum sodium levels and mortality among 118 residents (82% female, mean age 85.5 years) in a single geriatric health service facility. We defined hyponatremia as Na \u003c 135 mEq/L. On the basis of single measurements of serum sodium at periodic examinations, the patients were divided into hyponatremia and non-hyponatremia groups. Multivariable Cox proportional hazards models were used to evaluate the effect of hyponatremia on mortality from May 2005 to April 2007. Results Thirty-three patients (28%) had hyponatremia. Over a 1-year follow-up period, the cumulative survival rate was significantly lower in patients with hyponatremia than in those without hyponatremia. In a multivariate analysis, including traditional risk factors for death, hyponatremia was associated with an increased mortality risk (adjusted hazard ratio 2.73; 95% confidence interval 1.01–5.16; p = 0.047).Conclusions Hyponatremia is common and is a predictor of mortality in the near future among very elderly residents of a geriatric facility.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_1617186702042": {"attribute_name": "Language", "attribute_value_mlt": [{"subitem_1551255818386": "eng"}]}, "item_1617187087799": {"attribute_name": "Dissertation Number", "attribute_value_mlt": [{"subitem_1551256171004": "乙第230号"}]}, "item_1617187112279": {"attribute_name": "Degree Name", "attribute_value_mlt": [{"subitem_1551256126428": "博士(医学)", "subitem_1551256129013": "ja"}]}, "item_1617258105262": {"attribute_name": "Resource Type", "attribute_value_mlt": [{"resourcetype": "doctoral thesis", "resourceuri": "http://purl.org/coar/resource_type/c_db06"}]}, "item_1617265215918": {"attribute_name": "Version Type", "attribute_value_mlt": [{"subitem_1522305645492": "VoR", "subitem_1600292170262": "http://purl.org/coar/version/c_970fb48d4fbd8a85"}]}, "item_1617605131499": {"attribute_name": "File", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2022-10-06"}], "download_preview_message": "", "file_order": 0, "filename": "iron230abstract.pdf", "filesize": [{"value": "1.4 MB"}], "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 1400000.0, "url": {"objectType": "abstract", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2019523/files/iron230abstract.pdf"}, "version_id": "cdeedeeb-da53-40b5-8aa9-20eab6488e84"}, {"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2022-10-06"}], "download_preview_message": "", "file_order": 1, "filename": "iron230review.pdf", "filesize": [{"value": "1.1 MB"}], "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 1100000.0, "url": {"objectType": "other", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2019523/files/iron230review.pdf"}, "version_id": "d2773787-c4ca-4649-9fdf-ecd9eb1bdb86"}]}, "item_1617944105607": {"attribute_name": "Degree Grantor", "attribute_value_mlt": [{"subitem_1551256015892": [{"subitem_1551256027296": "18001", "subitem_1551256029891": "kakenhi"}], "subitem_1551256037922": [{"subitem_1551256042287": "琉球大学", "subitem_1551256047619": "ja"}]}]}, "item_title": "Hyponatremia and mortality among very elderly residents in a geriatric health service facility", "item_type_id": "59", "owner": "14", "path": ["1642838159351", "1642838409905"], "permalink_uri": "http://hdl.handle.net/20.500.12000/0002019523", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2022-08-31"}, "publish_date": "2022-08-31", "publish_status": "0", "recid": "2019523", "relation": {}, "relation_version_is_last": true, "title": ["Hyponatremia and mortality among very elderly residents in a geriatric health service facility"], "weko_shared_id": -1}
老人保健施設の超高齢入所者における低ナトリウム血症と死亡リスクの関連
http://hdl.handle.net/20.500.12000/0002019523
http://hdl.handle.net/20.500.12000/00020195234040c5e0-2e94-4635-94e3-0327a5c6dd2a
名前 / ファイル | ライセンス | アクション |
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iron230abstract.pdf (1.4 MB)
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iron230review.pdf (1.1 MB)
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Item type | 琉球大学リポジトリ登録用アイテムタイプ(1) | |||||||
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公開日 | 2022-08-31 | |||||||
タイトル | ||||||||
タイトル | Hyponatremia and mortality among very elderly residents in a geriatric health service facility | |||||||
言語 | en | |||||||
タイトル | ||||||||
タイトル | 老人保健施設の超高齢入所者における低ナトリウム血症と死亡リスクの関連 | |||||||
言語 | ja | |||||||
作成者 |
名嘉, 圭代
× 名嘉, 圭代
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アクセス権 | ||||||||
アクセス権 | open access | |||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||
主題 | ||||||||
言語 | en | |||||||
主題Scheme | Other | |||||||
主題 | Elderly | |||||||
主題 | ||||||||
言語 | en | |||||||
主題Scheme | Other | |||||||
主題 | Geriatric facility | |||||||
主題 | ||||||||
言語 | en | |||||||
主題Scheme | Other | |||||||
主題 | Hyponatremia | |||||||
主題 | ||||||||
言語 | en | |||||||
主題Scheme | Other | |||||||
主題 | Mortalit | |||||||
内容記述 | ||||||||
内容記述タイプ | Abstract | |||||||
内容記述 | Introduction Hyponatremia is common among elderly patients. This study aimed to examine the prognostic value of hyponatremia among elderly residents in a geriatric facility.Methods We retrospectively examined the association between serum sodium levels and mortality among 118 residents (82% female, mean age 85.5 years) in a single geriatric health service facility. We defined hyponatremia as Na < 135 mEq/L. On the basis of single measurements of serum sodium at periodic examinations, the patients were divided into hyponatremia and non-hyponatremia groups. Multivariable Cox proportional hazards models were used to evaluate the effect of hyponatremia on mortality from May 2005 to April 2007. Results Thirty-three patients (28%) had hyponatremia. Over a 1-year follow-up period, the cumulative survival rate was significantly lower in patients with hyponatremia than in those without hyponatremia. In a multivariate analysis, including traditional risk factors for death, hyponatremia was associated with an increased mortality risk (adjusted hazard ratio 2.73; 95% confidence interval 1.01–5.16; p = 0.047).Conclusions Hyponatremia is common and is a predictor of mortality in the near future among very elderly residents of a geriatric facility. | |||||||
言語 | en | |||||||
言語 | ||||||||
言語 | eng | |||||||
資源タイプ | ||||||||
資源タイプ | doctoral thesis | |||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||
出版タイプ | ||||||||
出版タイプ | VoR | |||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||
学位授与番号 | ||||||||
学位授与番号 | 乙第230号 | |||||||
学位名 | ||||||||
学位名 | 博士(医学) | |||||||
言語 | ja | |||||||
学位授与機関 | ||||||||
学位授与機関識別子 | 18001 | |||||||
学位授与機関識別子Scheme | kakenhi | |||||||
学位授与機関名 | 琉球大学 | |||||||
言語 | ja |