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Master Thesis

L’Hyponatrémie : Une pathologie de soins primaires ?

Abstract : Background: Hyponatremia is the most common electrolyte disorder encountered in the practice of medicine. Because of its frequency and morbidity and mortality, it is the responsibility of the physician to prevent, diagnose and manage this condition. This management must begin at the first link in the chain, with the general practitioner. Objectives: The main objective of this study is to determine the epidemiological, clinical and etiological characteristics of patients suffering from hyponatremia < 135 mmol/L in the department of general medicine of the Saint Louis hospital in La Réunion over a period of 1 year. The secondary objectives were to estimate the share of avoidable hospitalization and to evaluate the frequency of hyponatremic patients in the polyvalent medicine departments over the same period. We propose an algorithm for the diagnostic management of hyponatremia in primary care. Method : Our observational cross-sectional study was conducted from November 2, 2018 to November 2, 2019. 124 patients were hospitalized with an entry natremia less than or equal to 134 mmol/L. Rserults: A total of 109 patients were included. The prevalence of hyponatremia was 8%. The median entry natremia was 128 mmol/L. The median age of patients was 81 years. The primary cause was iatrogenicity with diuretics and angiotensin-aldosterone renin system antagonists as the most frequently found specialties. Conclusion: This study highlights a significant number of preventable iatrogenic hyponatremia with the development of a primary care management algorithm for the prevention and diagnosis of hyponatremia.
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Master Thesis
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Submitted on : Wednesday, February 3, 2021 - 6:33:05 AM
Last modification on : Tuesday, October 19, 2021 - 5:56:43 PM
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  • HAL Id : dumas-03129645, version 1


Julien Lacheray. L’Hyponatrémie : Une pathologie de soins primaires ?. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03129645⟩



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