The registry is a multi-center, prospective, observational study designed to collect data in patients with euvolemic and hypervolemic hyponatremia in the hospital setting in the USA and hyponatremia secondary to syndrome of inappropriate antidiuretic hormone secretion (SIADH) in Europe; patients with hypovolemic hyponatremia will be excluded from the registry. The registry is observational in design, and the registry will collect data on patients with a serum sodium ≤130 mmol/L. Data from the patients' chart will be collected throughout the duration of the hospital, from admission to discharge, and the data will be entered into the case report form (CRF) or into an electronic data capture (EDC) system. These patients will be entered into the registry over the duration of 18 months at community, tertiary, and academic medical centers from diverse multiple regions of the USA and Europe. A patient's treatment will be determined by their caregiver and not by this protocol. Thus, the registry will provide a unique opportunity to evaluate how the patients are managed under real-world management conditions.
Study Type
OBSERVATIONAL
Enrollment
5,028
North America Research Institute
Azusa, California, United States
Chrishard Medical Group
Inglewood, California, United States
UCLA
Los Angeles, California, United States
Regional Cardiology Associates
Sacramento, California, United States
Portercare Adventist Health System
Denver, Colorado, United States
Change in serum sodium concentration from beginning of treatment period to the end of treatment period or discharge for a given hyponatremia treatment
Time frame: Hospital Discharge
Duration of hospital stay from time of first presentation of hyponatremia (which will be taken as the time of first presentation of hyponatremia for the current admission) to discharge
Time frame: Hospital Discharge
Time to initiation of hyponatremia treatment
Time frame: Hospital Discharge
Relative proportions of etiologies associated with hyponatremia
Time frame: Hospital Discharge
Profile of investigations performed in diagnosing hyponatremia
Time frame: Hospital Discharge
Therapies used in the management of hyponatremia
Time frame: Hospital Discharge
Effectiveness of individual therapies in correcting hyponatremia and time taken to achieve the correction.
Effectiveness of individual therapies in correcting hyponatremia and time taken to achieve the correction measured as one of the following: serum sodium \>130 serum sodium ≥135 mmol/L increase of serum sodium ≥5 mmol/L
Time frame: Hospital Discharge
Effectiveness of individual therapies in correcting hyponatremia and time taken to achieve the correction.
Effectiveness of individual therapies in correcting hyponatremia and time taken to achieve the correction measured as one of the following: * serum sodium \>130 * serum sodium ≥135 mmol/L * increase of serum sodium ≥5 mmol/L
Time frame: Hospital Discharge
Effectiveness of individual therapies in achieving symptom improvement measured as the number of reported symptoms at the start and end of treatment with a specific therapy
Time frame: Hospital Discharge
Medically necessary length of hospital stay and duration of intensive care unit (ICU) stay
Time frame: Hospital Discharge
Impact of hyponatremia on medically necessary length of stay
Time frame: Hospital Discharge
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