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Letters |15 November 1996

Hypernatremia in Hospitalized Patients

Michael L. Moritz, MD

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  • Texas Children's Hospital, Houston, TX 77030-2399.
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TO THE EDITOR:
Palevsky and colleagues point out that hospital-acquired hypernatremia is largely attributable to the inappropriate prescription of fluids, but they fail to show whether this leads to increased morbidity and mortality [1]. They openly state that no mortality was directly associated with hypernatremia. They claim that hypernatremia partially contributed to the death of 16% of patients and to decreased functional status at discharge in 14%; however, they provide no details on the manner in which hypernatremia contributed to these outcomes or which patients are most at risk. They also do not mention whether any patient with delayed recognition and treatment had increased morbidity or mortality.
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Moritz ML. Hypernatremia in Hospitalized Patients. Ann Intern Med. ;125:860. doi: 10.7326/0003-4819-125-10-199611150-00019

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Published: Ann Intern Med. 1996;125(10):860.

DOI: 10.7326/0003-4819-125-10-199611150-00019

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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