ArticlePloS one2019
Electrolyte imbalances in an unselected population in an emergency department: A retrospective cohort study.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Major electrolyte disorder and associated factors among patients with chronic disease in Ethiopia: a systematic review and meta-analysis.BMC nephrology · 2024Pooled it
- Pooled it
- Fluid-electrolyte homeostasis requires histone deacetylase function.JCI insight · 2020Pooled it
- Multiple electrolyte imbalances in hospitalized patients: a multimorbidity perspective from a large, retrospective cohort study.Annals of medicine · 2026Article
- Serum Magnesium Levels as a Prognostic Marker in Emergency Department Admissions: A Landmark Retrospective Cohort Study.Journal of the American College of Emergency Physicians open · 2026Article
- Predictors of mortality among non-traumatic critically ill patients with electrolyte imbalances attending a Ugandan regional referral hospital Emergency Department.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Drug-Induced Hyponatremia as a Cause of Emergency Department Attendance.Pharmacy (Basel, Switzerland) · 2026Article
- Impact of Fasting Plasma Glucose on Electrolyte Imbalance, Lipid Profile, and Associated Health Complications in Type 1 and Type 2 Diabetic Patients: A Cross-Sectional Study in Rural Bangladesh.Health science reports · 2026Article
- Unexplained Hyponatremia Revealing Vitamin D Deficiency: A Clinical Case Report.Clinical case reports · 2026Article
- Association Between Hyponatremia and Mortality and Readmission in Multimorbid Older Adults-A Cohort Study.Journal of clinical medicine · 2025Article
- Development and evaluation of a machine learning prediction model for short-term mortality in patients with diabetes or hyperglycemia at emergency department admission.Cardiovascular diabetology · 2025Article
- Article
- Emergency Department Serum Electrolyte Patterns in Paroxysmal Atrial Fibrillation.Journal of clinical laboratory analysis · 2025Article
- Long-Term Clinical Relevance of Hyponatremia Identified During Acute Phase of Myocardial Infarction.Journal of clinical medicine · 2025Article
- Beneficial Effect of Calcium Treatment for Hyperkalemia Is Not Due to "Membrane Stabilization".Critical care medicine · 2024Article
- Association between hypomagnesemia and serum lactate levels in patients with sepsis: a retrospective observational study.Journal of anesthesia, analgesia and critical care · 2024Article
- Serum calcium is associated with sudden cardiac arrest in stroke patients from ICU: a multicenter retrospective study based on the eICU collaborative research database.Scientific reports · 2024Article
- Association between admission serum potassium level and 30-day all-cause mortality in patients with emergency admission for heart failure: A secondary analysis based on a Norwegian retrospective cohort.International journal of cardiology. Cardiovascular risk and prevention · 2023Article
- Article
- Association between hypomagnesemia and coagulopathy in sepsis: a retrospective observational study.BMC anesthesiology · 2022Observational
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough electrolyte imbalances (EIs) are common in the emergency department (ED), few studies have examined the occurrence of such conditions in an unselected population.
objectivesTo investigate the frequency of EI among adult patients who present to the ED, with regards to type and severity, and the association with age and sex of the patient, hospital length of stay (LOS), readmission, and mortality.
methodsA retrospective cohort study. All patients ≥18 years referred for any reason to the ED between January 1, 2010, and December 31, 2015, who had measured blood electrolytes were included. In total, 62 991 visits involving 31 966 patients were registered.
resultsEIs were mostly mild, and the most common EI was hyponatremia (glucose-corrected) (24.6%). Patients with increasing severity of EI had longer LOS compared with patients with normal electrolyte measurements. Among all admitted patients, there were 12928 (20.5%) readmissions within 30 days from discharge during the study period. Hyponatremia (glucose-corrected) was associated with readmission, with an adjusted odds ratio (OR) of 1.25 (95% CI, 1.18-1.32). Hypomagnesemia and hypocalcemia (albumin-corrected) were also associated with readmission, with ORs of 1.25 (95% CI, 1.07-1.45) and 1.22 (95% CI, 1.02-1.46), respectively. Dysnatremia, dyskalemia, hypercalcemia, hypermagnesemia, and hyperphosphatemia were associated with increased in-hospital mortality, whereas all EIs except hypophosphatemia were associated with increased 30-day and 1-year mortality.
conclusionsEIs were common and increasing severity of EIs was associated with longer LOS and increased in-hospital, 30-days and 1-year mortality. EI monitoring is crucial for newly admitted patients, and up-to-date training in EI diagnosis and treatment is essential for ED physicians.
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