Table 3 Subgroup and sensitivity analyses of patients with hypernatremia, hyponatremia and normonatremia at the time of ICU admission.

From: A retrospective cohort study on the clinical outcomes of patients admitted to intensive care units with dysnatremia

 

Hypernatremia

P-value

Hyponatremia

P-value

Normonatremia

Subgroup analyses–ICU mortality

 Surgical patients

  Frequency (%)

462/3195 (14.5%)

 

569/11,321 (5.0%)

 

1848/55,564 (3.3%)

  Unadjusted OR (95% CI)

4.91 (4.41–5.48)

 < 0.001

1.54 (1.40–1.69)

 < 0.001

Reference

  Adjusted OR (95% CI)

1.79 (1.54–2.07)

 < 0.001

0.87 (0.77–0.98)

0.026

 Medical patients

  Frequency (%)

1465/5903 (24.8%)

 

4128/29,212 (14.1%)

 

7061/56,831 (12.4%)

  Unadjusted OR (95% CI)

2.33 (2.18–2.48)

 < 0.001

1.16 (1.11–1.21)

 < 0.001

Reference

  Adjusted OR (95% CI)

1.13 (1.04–1.22)

 < 0.001

1.17 (1.11–1.23)

 < 0.001

 Without neurological diseases

  Frequency (%)

1782/8187 (21.8%)

 

4557/38,009 (12.0%)

 

8155/95,594 (8.5%)

  Unadjusted OR (95% CI)

2.98 (2.82–3.16)

 < 0.001

1.46 (1.41–1.52)

 < 0.001

Reference

  Adjusted OR (95% CI)

1.24 (1.15–1.33)

 < 0.001

1.15 (1.10–1.21)

 < 0.001

 With neurological diseases

  Frequency (%)

145/911 (15.9%)

 

140/2524 (5.6%)

 

754/16,801 (4.5%)

  Unadjusted OR (95% CI)

4.03 (3.33–4.88)

 < 0.001

1.25 (1.04–1.50)

0.018

Reference

  Adjusted OR (95% CI)

1.65 (1.29–2.12)

 < 0.001

0.85 (0.68–1.05)

0.14

Sensitivity analyses

 Redefinition of normal serum sodium1

  Frequency (%)

725/2717 (26.7%)

 

1726/14,338 (12.0%)

 

13,082/144,971 (9.0%)

  Unadjusted OR (95% CI)

3.67 (3.36–4.00)

 < 0.001

1.38 (1.31–1.46)

 < 0.001

Reference

  Adjusted OR (95% CI)

1.20 (1.08–1.34)

0.001

1.13 (1.06–1.21)

 < 0.001

 Corrected sodium2

 Frequency (%)

1838/10,728 (17.1%)

 

2109/16,197 (13.0%)

 

4808/61,264 (7.9%)

  Unadjusted OR (95% CI)

2.43 (2.29–2.57)

 < 0.001

1.76 (1.66–1.86)

 < 0.001

Reference

  Adjusted OR (95% CI)

1.16 (1.07–1.25)

 < 0.001

1.19 (1.12–1.28)

 < 0.001

  1. CI confidence interval, ICU intensive care unit, OR odds ratio.
  2. 1Normonatremia defined as serum sodium level 130–150 mmol/L; hyponatremia defined as serum sodium level < 130 mmol/L; Hypernatremia defined as serum sodium level > 150 mmol/L.
  3. 2Corrected [Na] = Serum [Na] + 0.4 x (Paired blood glucose–5.5 mmol/L). A total of 73,837 (45.6%) patients did not have corrected sodium measurements.
  4. Significant values are italic.