TY - JOUR T1 - Yaşlılarda Hiponatremiyle İlişkili Faktörler TT - The Factors Associated Hyponatremia in Older Adults AU - Aydın, Ali Ekrem AU - Kocyıgıt, Suleyman Emre PY - 2019 DA - December Y2 - 2019 JF - Geriatrik Bilimler Dergisi JO - GBD PB - Geriatrik Bilimler Derneği WT - DergiPark SN - 2636-8315 SP - 90 EP - 94 VL - 2 IS - 3 LA - tr AB - Amaç: Hiponatremi yaşlı hastalarda en sık görülenelektrolit bozukluğudur, kötü prognoz ve mortalite artışı ile ilişkilidir. Buçalışmanın amacı, yaşlı erişkinlerde hiponatremi ile ilişkili komorbidhastalıkları ve ilaçları incelemektir.Gereç ve Yöntemler: Bu retrospektif, kesitsel bir çalışmada geriatrikliniğine başvuran 240 yaşlı hasta (yatarak ve ayakta tedavi gören hasta)değerlendirdi. Tüm katılımcıların demografik özellikleri, komorbiditeleri,ilaçları ve laboratuvar bulguları değerlendirildi. Hiponatremi, sodyum düzeyi<135 mmol / L olarak tanımlandı.Bulgular:Çalışmada hiponatremiprevalansı % 22.1 idi ve ortalama yaş75.27 ± 7.28 olarak saptandı.Hiponatremi grubunda hipertansiyon (HT), diabetes mellitus (DM), konjestifkalp yetmezliği (KKY), aterosklerotik kalp hastalığı (ASKH) sıklığı dahayüksekti (p<0.05). Diüretik, antidepresan ve antipsikotik ilaç kullanımsıklığı hiponatremi grubunda daha fazla olarak tespit edildi (p< 0.05).Sonuç: Bazı komorbiditeler ile diüretik, antidepresanve antipsikotik gibi yaşlılarda sık reçete edilen ilaç gruplarının hiponatremiile ilişkili olabileceği gösterilmiştir. Bu açıdan geriatri pratiğindehastaları değerlendirmek önemlidir. KW - hiponatremi KW - yaşlılık KW - diüretik KW - komorbidite N2 - Aim: Hyponatremia is the most common electrolytedisturbance in older adults and is associated with poor prognosis and increasedmortality. The aim of this study was to investigate comorbid diseases and drugsassociated with hyponatremia in older adults.Material and Methods: In thisretrospective and cross-sectional study, 240 elderly patients (inpatients andoutpatients) admitted to the geriatrics clinic were evaluated. Demographiccharacteristics, comorbidities, drugs and laboratory findings of all participantswere evaluated. Hyponatremia was defined as sodium level <135 mmol / L.Results: The prevalence of hyponatremia was 22.1%and the mean age was 75.27 ± 7.28 years. The frequency of hypertension (HT),diabetes mellitus (DM), congestive heart failure (CHF), and atheroscleroticheart disease (ASHD) were higher in the hyponatremia group than normonatremiagroup (p <0.05). The incidence of diuretics, anridepressant andantipsychotic drugs usage was higher in hyponatremia group (p <0.05).Conclusions: Severalcomorbidities and frequently prescribed drug groups in older adults such asdiuretics, antidepressants and antipsychotic medicines may be associated withhyponatremia. In this respect, it is necessary to evaluate patients ingeriatric practice in terms of comorbidities and drugs. CR - 1. Cumming K, Hoyle GE, Hutchison JD, Soiza RL. Prevalence, incidence and etiology of hyponatremia in elderly patients with fragility fractures. PLoS One. 2014;9:e88272. CR - 2. Soiza RL, Cumming K, Clarke JM, Wood KM, Myint PK. Hyponatremia: Special Considerations in Older Patients. J Clin Med. 2014;3:944-958. CR - 3. Filippatos TD, Makri A, Elisaf MS, Liamis G. Hyponatremia in the elderly: challenges and solutions. Clin Interv Aging. 2017;12:1957-1965. CR - 4. Soiza RL, Hoyle GE, Chua M. 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