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Incidence of Hyponatremia in Patients With Indwelling Peritoneal Catheters for Drainage of Malignant Ascites
Author(s) -
Shruti Gupta,
Maria Clarissa Tio,
Emily D. Gutowski,
Mark M. Stecker,
Ashish Verma,
Shveta S. Motwani,
David B. Mount,
Gearoid M. McMahon,
Sushrut S. Waikar
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.17859
Subject(s) - hyponatremia , medicine , incidence (geometry) , ascites , retrospective cohort study , cohort , intensive care medicine , optics , physics
Key Points Question What is the incidence of hyponatremia after the placement of an indwelling peritoneal catheter for malignant ascites? Findings In this cohort study of 309 patients, the overall incidence of hyponatremia after the placement of an indwelling peritoneal catheter was 84.8%, yet hyponatremia was often untreated or unrecognized. Patients with hyponatremia prior to the placement of an indwelling peritoneal catheter and those with hepatopancreatobiliary malignant neoplasms were more likely to develop hyponatremia. Meaning These finding suggest that hyponatremia is common among patients with an indwelling peritoneal catheter for malignant ascites, and at-risk patients may warrant closer monitoring.

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