Evidence map›Paper›PMID 24569125›Full record

GuidelineEuropean journal of endocrinology2014

Clinical practice guideline on diagnosis and treatment of hyponatraemia.

Goce Spasovski, Raymond Vanholder, Bruno Allolio, Djillali Annane, Steve Ball, Daniel Bichet, Guy Decaux, Wiebke Fenske, Ewout J Hoorn, Carole Ichai and 8 more

Erratum issued 6 registry-linked trialsOpen access · bronzeAbstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in European journal of endocrinology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 6 registered trials, which are not on this map. Cited by 365 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
365citing papers in PubMed, 8 pooled it
43.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02887469 phase4completednot on this mapstarted 2016, after this paper: background citation

Efficacy and Safety of Rapid Intermittent Correction Compared With Slow Continuous Correction With Hypertonic Saline in Patient With Moderately Severe or Severe Symptomatic Severe Hyponatremia (SALSA Trial)

TypeinterventionalSponsorSeoul National University HospitalRan2016 to 2019Enrolled178ConditionsHyponatremia SymptomaticArms3% hypertonic saline
NCT04402190 completednot on this mapstarted 2018, after this paper: background citation

Hypotonic Hyponatremia: Criteria for the Correct Classification of Its Etiology and of Patient Volume Status at the Access in the Emergency Department and at the Subsequent Re-evaluation in Hospital Wards

TypeobservationalSponsorA.O.U. Città della Salute e della ScienzaRan2018 to 2020Enrolled123ConditionsHyponatremia, Hyponatremia With Extracellular Fluid Depletion, Hyponatremia With Normal Extracellular Fluid Volume, Hyponatremia With Excess Extracellular Fluid Volume
NCT04561531 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Efficacy and Safety of Intermittent Bolus Comparing With Traditional Continuous Drip of 3% NaCl in Patients With Severe Symptomatic Hyponatremia at Rajavithi Hospital

TypeinterventionalSponsorDepartment of Medical Services Ministry of Public Health of ThailandRan2020 to 2021Enrolled40ConditionsHyponatremia, Osmotic Demyelination SyndromeArms3%NaCl
NCT04744987 completednot on this mapstarted 2019, after this paper: background citation

Changes in Serum Creatinine Levels Can Help Distinguish Hypovolemic From Euvolemic Hyponatremia

TypeobservationalSponsorHospital San Carlos, MadridRan2019 to 2020Enrolled122ConditionsHyponatremia, Hypovolemia, SIADH
NCT04949139 phase4completednot on this mapstarted 2021, after this paper: background citation

Efficacy and Safety of Rapid Intermittent Correction Compared With Slow Continuous Correction in Patients With Severe Hypernatremia (SALSA II Trial)

TypeinterventionalSponsorSeoul National University HospitalRan2021 to 2025Enrolled178ConditionsHypernatremiaArmsDextrose 5% in water
NCT05188131 phase4completednot on this mapstarted 2021, after this paper: background citation

Acute Neuroendocrine Response to Intravenous Infusion of Diclofenac Sodium

TypeinterventionalSponsorA.O.U. Città della Salute e della ScienzaRan2021 to 2021Enrolled12ConditionsHypopituitarismArmsIntravenous Infusion of Diclofenac Sodium, Intravenous Infusion of Placebo
3 · Its place in the literature

Who cites it

365 citing papers in PubMed, 8 syntheses or guidelines pooled it, 808 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. A clinical practice guideline for tuberculous meningitis.The Lancet. Infectious diseases · 2026
    Guideline
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Effects of Sodium Intake on Health and Performance in Endurance and Ultra-Endurance Sports.International journal of environmental research and public health · 2022
    Pooled it
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Chronic hyponatremia and skeletal vulnerability: bone loss, fragility fracture risk, and therapeutic uncertainties.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  14. Article
  15. [Diagnostic challenges of Wernicke-Korsakoff syndrome: A case report].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Article
  16. Article
  17. Incidental finding of central pontine myelinolysis on [European journal of nuclear medicine and molecular imaging · 2026
    Article
  18. Article
  19. Article
  20. Article

305 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 12 institutions in 8 countries.

Goce SpasovskiState University Hospital Skopje, Skopje, Macedonia.
Raymond Vanholder
Bruno Allolio
Djillali Annane
Steve Ball
Daniel Bichet
Guy Decaux
Wiebke Fenske
Ewout J Hoorn
Carole Ichai
Michael Joannidis
Alain Soupart
Robert Zietse
Maria Haller
Sabine van der Veer
Wim Van Biesen
Evi Nagler
Hyponatraemia Guideline Development Group
Ghent University Hospital · BEErasmus Hospital · BEErasmus University Rotterdam · NLUniversitätsklinikum Würzburg · DEAcademic Medical Center · NLCentre Hospitalier Universitaire de Nice · FRHôpital du Sacré-Cœur de Montréal · CAHôpital Raymond-Poincaré · FRKrankenhaus der Elisabethinen · ATNewcastle University · GBPHI University Psychiatric Clinic - Skopje · MKUniversity Hospital Innsbruck · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyponatraemia, defined as a serum sodium concentration <135 mmol/l, is the most common disorder of body fluid and electrolyte balance encountered in clinical practice. It can lead to a wide spectrum of clinical symptoms, from subtle to severe or even life threatening, and is associated with increased mortality, morbidity and length of hospital stay in patients presenting with a range of conditions. Despite this, the management of patients remains problematic. The prevalence of hyponatraemia in widely different conditions and the fact that hyponatraemia is managed by clinicians with a broad variety of backgrounds have fostered diverse institution- and speciality-based approaches to diagnosis and treatment. To obtain a common and holistic view, the European Society of Intensive Care Medicine (ESICM), the European Society of Endocrinology (ESE) and the European Renal Association - European Dialysis and Transplant Association (ERA-EDTA), represented by European Renal Best Practice (ERBP), have developed the Clinical Practice Guideline on the diagnostic approach and treatment of hyponatraemia as a joint venture of three societies representing specialists with a natural interest in hyponatraemia. In addition to a rigorous approach to methodology and evaluation, we were keen to ensure that the document focused on patient-important outcomes and included utility for clinicians involved in everyday practice.

Indexed as

AdultAlgorithmsBlood GlucoseBrain EdemaCritical CareEndocrinologyEvidence-Based MedicineFemaleHumansHyponatremiaInappropriate ADH SyndromeInfusions, IntravenousKidney DiseasesMaleNephrologyOsmolar ConcentrationBlood GlucoseSaline Solution, HypertonicSodiumVasopressins

Identifiers

PMID24569125
OpenAlexW4294554863

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.