Are patients admitted to hospitals from care homes dehydrated? A retrospective analysis of hypernatraemia and in-hospital mortality

Journal of the Royal Society of Medicine

Volumn 108, Issue 7, 2015, Pages 259-265

  Wolff, Anthony ^a   Stuckler, David ^b   McKee, Martin ^c  

^a ROYAL FREE LONDON NHS FOUNDATION TRUST   (United Kingdom)

^b UNIVERSITY OF OXFORD   (United Kingdom)

^c LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

care homes; dehydration; hypernatraemia; older people

Indexed keywords

SODIUM;

AGED; ARTICLE; CONTROLLED STUDY; DEHYDRATION; DEMENTIA; EMERGENCY CARE; FEMALE; HOME CARE; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; HYPERNATREMIA; MAJOR CLINICAL STUDY; MALE; MORTALITY; NURSING HOME PATIENT; OBSERVATIONAL STUDY; PREVALENCE; RETROSPECTIVE STUDY; RISK FACTOR; SODIUM BLOOD LEVEL; UNITED KINGDOM; VERY ELDERLY; CLINICAL TRIAL; COMPLICATION; ELDER ABUSE; EPIDEMIOLOGY; HOSPITALIZATION; MULTICENTER STUDY; NURSING HOME; RISK; STATISTICS AND NUMERICAL DATA; TRENDS;

AGED; AGED, 80 AND OVER; DEHYDRATION; ELDER ABUSE; ENGLAND; FEMALE; HOSPITAL MORTALITY; HOSPITALIZATION; HUMANS; HYPERNATREMIA; MALE; NURSING HOMES; ODDS RATIO; RETROSPECTIVE STUDIES; RISK FACTORS;

EID: 84937210227     PISSN: 01410768     EISSN: 17581095     Source Type: Journal    
DOI: 10.1177/0141076814566260     Document Type: Article

References (29)

1. T.FaheyA.A.MontgomeryJ.BarnesJ.Protheroe. Quality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study. BMJ2003; 326: 580–580.
2. S.M.ShahI.M.CareyT.HarrisS.DewildeD.G.Cook. Quality of chronic disease care for older people in care homes and the community in a primary care pay for performance system: retrospective study. BMJ2011; 342: d912–d912.
3. N.Campbell. Dehydration: why is it still a problem?Nurs Times2011; 107: 12–15.
4. T.T.DowdJ.M.CampbellJ.A.Jones. Fluid intake and urinary incontinence in older community-dwelling women. J Community Health Nurs1996; 13: 179–186.
5. Daily Telegraph. Mid Staffordshire Trust inquiry: how the care scandal unfolded. Daily Telegraph 2013. See http://www.telegraph.co.uk/health/healthnews/9851763/Mid-Staffordshire-Trust-inquiry-how-the-care-scandal-unfolded.html (last checked 11 December 2014)
6. V.M.DrennanL.ColeS.Iliffe. A taboo within a stigma? A qualitative study of managing incontinence with people with dementia living at home. BMC Geriatr2011; 11: 75–75.
7. Riley-Smith B. More than a thousand care home residents die thirsty. Daily Telegraph 2013. See http://www.telegraph.co.uk/health/healthnews/10487305/More-than-a-thousand-care-home-residents-die-thirsty.html (last checked 11 December 2014)
8. Lamb N. Health services: older people. Reply to question by Chris Skidmore MP. Hansard 2012;12 December, Column 355W
9. A.D.WeinbergK.L.Minaker. Dehydration. Evaluation and management in older adults. Council on Scientific Affairs, American Medical Association. JAMA1995; 274: 1552–1556.
10. K.WottonK.CrannitchR.Munt. Prevalence, risk factors and strategies to prevent dehydration in older adults. Contemp Nurse2008; 31: 44–56.
11. K.KinoshitaK.HattoriY.OtaT.KanaiM.ShimizuH.Kobayashi. The measurement of axillary moisture for the assessment of dehydration among older patients: a pilot study. Exp Gerontol2013; 48: 255–258.
12. K.H.PoldermanW.O.SchreuderR.J.Strack van SchijndelL.G.Thijs. Hypernatremia in the intensive care unit: an indicator of quality of care?Crit Care Med1999; 27: 1105–1108.
13. H.T.StelfoxS.B.AhmedD.ZygunF.KhandwalaK.Laupland. Characterization of intensive care unit acquired hyponatremia and hypernatremia following cardiac surgery. Can J Anaesth2010; 57: 650–658.
14. H.T.StelfoxS.B.AhmedF.KhandwalaD.ZygunR.ShahporiK.Laupland. The epidemiology of intensive care unit-acquired hyponatraemia and hypernatraemia in medical-surgical intensive care units. Crit Care2008; 12: R162–R162.
15. M.DarmonJ.F.TimsitA.FrancaisM.Nguile-MakaoC.AdrieY.Cohen. Association between hypernatraemia acquired in the ICU and mortality: a cohort study. Nephrol Dial Transplant2010; 25: 2510–2515.
16. G.LindnerG.C.FunkC.SchwarzN.KneidingerA.KaiderB.Schneeweiss. Hypernatremia in the critically ill is an independent risk factor for mortality. Am J Kidney Dis2007; 50: 952–957.
17. F.VandergheynstY.SakrP.FelleiterR.HeringJ.GroeneveldP.Vanhems. Incidence and prognosis of dysnatraemia in critically ill patients: analysis of a large prevalence study. Eur J Clin Invest2013; 43: 933–948.
18. A.A.LeungF.A.McAlisterS.R.FinlaysonD.W.Bates. Preoperative hypernatremia predicts increased perioperative morbidity and mortality. Am J Med2013; 126: 877–886.
19. A.K.SalahudeenS.M.DoshiP.Shah. The frequency, cost, and clinical outcomes of hypernatremia in patients hospitalized to a comprehensive cancer center. Support Care Cancer2013; 21: 1871–1878.
20. A.JovanovichT.Berl. Mortality and serum sodium in CKD–yet another U shaped curve. Nat Rev Nephrol2012; 8: 261–263.
21. L.FofiV.Dall'armiL.DurastantiA.ValenzaS.LorenzanoM.Prencipe. An observational study on electrolyte disorders in the acute phase of ischemic stroke and their prognostic value. J Clin Neurosci2012; 19: 513–516.
22. R.T.ErasmusT.E.Matsua. Frequency, aetiology and outcome of hypernatraemia in hospitalised patients in Umtata, Transkei, South Africa. East Afr Med J1999; 76: 85–88.
23. H.J.AdrogueN.E.Madias. Hypernatremia. N Engl J Med2000; 342: 1493–1499.
24. D.Spiegelhalter. Statistics behind the headlines. Have there been 13,000 needless deaths at 14 NHS trusts?BMJ2013; 347: f4893–f4893.
25. A.B.Hill. The environment and disease: association or causation?Proc R Soc Med1965; 58: 295–300.
26. S.WykeJ.AdamsonD.DixonK.Hunt. Consultation and illness behaviour in response to symptoms: a comparison of models from different disciplinary frameworks and suggestions for future research directions. Soc Sci Med2013; 86: 79–87.
27. J.Kayser-JonesE.S.SchellC.PorterJ.C.BarbacciaH.Shaw. Factors contributing to dehydration in nursing homes: inadequate staffing and lack of professional supervision. J Am Geriatr Soc1999; 47: 1187–1194.
28. J.Kayser-Jones. Malnutrition, dehydration, and starvation in the midst of plenty: the political impact of qualitative inquiry. Qual Health Res2002; 12: 1391–1405.
29. C.HarringtonJ.ChoiniereM.GoldmannF.F.JacobsenL.LloydM.McGregor. Nursing home staffing standards and staffing levels in six countries. J Nurs Scholarsh2012; 44: 88–98.