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Table. 3.

Table. 3.

Associated factors with hyponatremia during visits to the emergency department (N=2,127)

characteristics Hyponatremia group (N=155) n (%) Control group (N=1,972) N (%) Univariable logistic regression Multivariable logistic regression
OR 95% CI aOR 95% CI
Age, years
65-84 117 (75.5) 1,704 (86.4) 1 1
≥85 38 (24.5) 268 (13.6) 2.07 1.40 3.04 1.69 1.10 2.59
Sex
Male 89 (57.4) 1,058 (53.7) 1
Female 66 (42.6) 914 (46.4) 0.86 0.62 1.20
BMI
Underweight (<18.5) 20 (12.9) 189 (9.6) 1 1
Normal (≥18.5, <2) 73 (47.1) 666 (33.8) 1.04 0.62 1.74 1.40 0.79 2.47
Overweight to obese (≥23) 62 (40.0) 1,117 (56.6) 0.53 0.31 0.89 0.66 0.37 1.18
Comorbid disease
Liver cirrhosis 9 (5.8) 40 (2.0) 2.98 1.42 6.26 4.03 1.82 8.94
Sepsis 21 (13.6) 83 (4.2) 3.57 2.14 5.94 2.97 1.71 5.17
Pneumonia 37 (23.9) 183 (9.3) 3.07 2.06 4.57 2.74 1.77 4.25
Heart failure 20 (12.9) 146 (7.4) 1.85 1.13 3.05 2.01 1.18 3.45
Renal failure 30 (19.4) 223 (11.3) 1.88 1.23 2.87
eGFR <30 mL/min 27 (17.4) 189 (9.6) 1.99 1.28 3.09
Cerebrovascular disease 7 (4.5) 293 (14.9) 0.27 0.13 0.58 0.30 0.14 0.66
History of HN 8 (5.2) 13 (0.7) 8.20 3.35 20.10 5.50 2.00 15.09
ER visit within 1 month 18 (11.6) 243 (12.3) 0.94 0.56 1.56
Number of medications
0-9 82 (52.9) 1,351 (68.5) 1 1
≥10 73 (47.1) 621 (31.5) 1.94 1.39 2.69 1.52 1.06 2.19
Number of HIMs
0 28 (18.1) 538 (27.3) 1
1-2 55 (35.5) 810 (41.1) 1.31 0.82 2.08
≥3 72 (46.5) 624 (31.6) 2.22 1.41 3.48

BMI, body mass index; eGFR, estimated glomerular filtration rate; HN, hyponatremia; ER, emergency room; HIMs, hyponatremia inducing medications. Only selected variables were analyzed for aOR through stepwise method (sls=0.1, sle=0.05).

Korean J Clin Pharm 2022;32:67-73 https://doi.org/10.24304/kjcp.2022.32.2.67
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