ArticleJournal of the Royal Society of Medicine2015
Are patients admitted to hospitals from care homes dehydrated? A retrospective analysis of hypernatraemia and in-hospital mortality.
Article in Journal of the Royal Society of Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed, 63 citations in OpenAlex.
- Hypernatremia in Hospital-at-Home Patients: Prevalence, Clinical Profile, and Mortality in Institutionalized and Home-Dwelling Older Adults.Medical sciences (Basel, Switzerland) · 2026Observational
- First Design of a Contact Lens for Diagnosis of Dehydration.Biosensors · 2025Article
- The impact of the risk prevention nursing model on nursing risk events and satisfaction in pediatric care.Medicine · 2025Observational
- Evaluation of the Staff Educational Components of the PROMOTE Program to Improve Resident Hydration.Nutrients · 2024Article
- Mechanical Ventilation in Older Adults With Dementia: Opportunities to Promote Goal-Concordant Care.Journal of pain and symptom management · 2024Article
- Factors Associated with Costly Hospital Care among Patients with Dementia and Acute Respiratory Failure.Annals of the American Thoracic Society · 2024Article
- Article
- Tear Osmolarity in the Diagnosis of Systemic Dehydration and Dry Eye Disease.Diagnostics (Basel, Switzerland) · 2021Review
- Approach to the Management of Hypernatraemia in Older Hospitalised Patients.The journal of nutrition, health & aging · 2021Article
- Progression to Severe Hypernatremia in Hospitalized General Medicine Inpatients: An Observational Study of Hospital-Acquired Hypernatremia.Medicina (Kaunas, Lithuania) · 2020Observational
- Article
- Recommendations for active correction of hypernatremia in volume-resuscitated shock or sepsis patients should be taken with a grain of salt: A systematic review.SAGE open medicine · 2018Review
- Feasibility of using risk prompts to prevent falls, dehydration and pulmonary aspiration in nursing homes: a clinical study protocol.Pilot and feasibility studies · 2018Article
- Seasonality of urinary tract infections in the United Kingdom in different age groups: longitudinal analysis of The Health Improvement Network (THIN).Epidemiology and infection · 2018Article
- Severity of community acquired hypernatremia is an independent predictor of mortality.Internal and emergency medicine · 2017Article
- Clinical assessments and care interventions to promote oral hydration amongst older patients: a narrative systematic review.BMC nursing · 2017Article
- Dehydration, a clue to neglect in care homes.Journal of the Royal Society of Medicine · 2015Article
- A multidisciplinary consensus on dehydration: definitions, diagnostic methods and clinical implications.Annals of medicineArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo compare risks of hypernatraemia on admission to hospital in persons who were with those who were not identified as care home residents and evaluate the association of hypernatraemia with in-hospital mortality.
designRetrospective observational study.
settingA National Health Service Trust in London.
participantsA total of 21,610 patients aged over 65 years whose first admission to the Trust was between 1 January 2011 and 31 December 2013.
main outcome measuresHypernatraemia on admission (plasma Na > 145 mmol/L) and in-hospital death.
resultsPatients admitted from care homes had 10-fold higher prevalence of hypernatraemia than those from their own homes (12.0% versus 1.3%, respectively; odds ratio [OR]: 10.5, 95% confidence interval [CI]: 8.43-13.0). Of those with hypernatraemia, nine in 10 cases were associated with nursing home ECOHOST residency (attributable fraction exposure: 90.5%), and the population attributable fraction of hypernatraemia on admission associated with care homes was 36.0%. After correcting for age, gender, mode of admission and dementia, care home residents were significantly more likely to be admitted with hypernatraemia than were own-home residents (adjusted odds ratio [AOR]: 5.32, 95% CI: 3.85-7.37). Compared with own-home residents, care home residents were also at about a two-fold higher risk of in-hospital mortality compared with non-care home residents (AOR: 1.97, 95% CI: 1.59-2.45). Consistent with evidence that hypernatraemia is implicated in higher mortality, the association of nursing homes with in-hospital mortality was attenuated after adjustment for it (AOR: 1.61, 95% CI: 1.26-2.06).
conclusionsPatients admitted to hospital from care homes are commonly dehydrated on admission and, as a result, appear to experience significantly greater risks of in-hospital mortality.
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