Impact of Hyponatremia after Renal Transplantation on Decline of Renal Function, Graft Loss and Patient Survival: A Prospective Cohort Study.

Details

Serval ID
serval:BIB_001CD2EB0CCD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of Hyponatremia after Renal Transplantation on Decline of Renal Function, Graft Loss and Patient Survival: A Prospective Cohort Study.
Journal
Nutrients
Author(s)
Berchtold L., Filzer A., Achermann R., Devetzis V., Dahdal S., Bonani M., Schnyder A., Golshayan D., Amico P., Huynh-Do U., de Seigneux S., Arampatzis S., On Behalf Of Swiss Transplant Cohort Study Collaborators -
ISSN
2072-6643 (Electronic)
ISSN-L
2072-6643
Publication state
Published
Issued date
27/08/2021
Peer-reviewed
Oui
Volume
13
Number
9
Pages
2995
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Hyponatremia is one of the most common electrolyte disorders observed in hospitalized and ambulatory patients. Hyponatremia is associated with increased falls, fractures, prolonged hospitalisation and mortality. The clinical importance of hyponatremia in the renal transplant field is not well established, so the aim of this study was to determine the relationships between hyponatremia and mortality as main outcome and renal function decline and graft loss as secondary outcome among a prospective cohort of renal transplant recipients.
This prospective cohort study included 1315 patients between 1 May 2008 and 31 December 2014. Hyponatremia was defined as sodium concentration below 136 mmol/L at 6 months after transplantation. The main endpoint was mortality. A secondary composite endpoint was also defined as: rapid decline in renal function (≥5 mL/min/1.73 m <sup>2</sup> drop of the eGFR/year), graft loss or mortality.
Mean sodium was 140 ± 3.08 mmol/L. 97 patients displayed hyponatremia with a mean of 132.9 ± 3.05 mmol/L. Hyponatremia at 6 months after transplantation was associated neither with mortality (HR: 1.02; p = 0.97, 95% CI: 0.47-2.19), nor with the composite outcome defined as rapid decline in renal function, graft loss or mortality (logrank test p = 0.9).
Hyponatremia 6 months after transplantation is not associated with mortality in kidney allograft patients.
Keywords
Swiss Transplant Cohort Study, hyponatremia, kidney transplantation
Pubmed
Open Access
Yes
Create date
04/10/2021 8:58
Last modification date
06/10/2021 5:41
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