Are Further Interventions Needed to Prevent and Manage Hospital-Acquired Hyponatraemia? A Nationwide Cross-Sectional Survey of IV Fluid Prescribing Practices

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Are Further Interventions Needed to Prevent and Manage Hospital-Acquired Hyponatraemia? A Nationwide Cross-Sectional Survey of IV Fluid Prescribing Practices. / Sindahl, Per; Overgaard-Steensen, Christian; Wallach-Kildemoes, Helle; De Bruin, Marie Louise; Leufkens, Hubert G. M.; Kemp, Kaare; Gardarsdottir, Helga.

In: Journal of Clinical Medicine, Vol. 9, No. 9, 2790, 2020.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Sindahl, P, Overgaard-Steensen, C, Wallach-Kildemoes, H, De Bruin, ML, Leufkens, HGM, Kemp, K & Gardarsdottir, H 2020, 'Are Further Interventions Needed to Prevent and Manage Hospital-Acquired Hyponatraemia? A Nationwide Cross-Sectional Survey of IV Fluid Prescribing Practices', Journal of Clinical Medicine, vol. 9, no. 9, 2790. https://doi.org/10.3390/jcm9092790

APA

Sindahl, P., Overgaard-Steensen, C., Wallach-Kildemoes, H., De Bruin, M. L., Leufkens, H. G. M., Kemp, K., & Gardarsdottir, H. (2020). Are Further Interventions Needed to Prevent and Manage Hospital-Acquired Hyponatraemia? A Nationwide Cross-Sectional Survey of IV Fluid Prescribing Practices. Journal of Clinical Medicine, 9(9), [2790]. https://doi.org/10.3390/jcm9092790

Vancouver

Sindahl P, Overgaard-Steensen C, Wallach-Kildemoes H, De Bruin ML, Leufkens HGM, Kemp K et al. Are Further Interventions Needed to Prevent and Manage Hospital-Acquired Hyponatraemia? A Nationwide Cross-Sectional Survey of IV Fluid Prescribing Practices. Journal of Clinical Medicine. 2020;9(9). 2790. https://doi.org/10.3390/jcm9092790

Author

Sindahl, Per ; Overgaard-Steensen, Christian ; Wallach-Kildemoes, Helle ; De Bruin, Marie Louise ; Leufkens, Hubert G. M. ; Kemp, Kaare ; Gardarsdottir, Helga. / Are Further Interventions Needed to Prevent and Manage Hospital-Acquired Hyponatraemia? A Nationwide Cross-Sectional Survey of IV Fluid Prescribing Practices. In: Journal of Clinical Medicine. 2020 ; Vol. 9, No. 9.

Bibtex

@article{9fac9c7290ae480a9893cefe990515a2,
title = "Are Further Interventions Needed to Prevent and Manage Hospital-Acquired Hyponatraemia?: A Nationwide Cross-Sectional Survey of IV Fluid Prescribing Practices",
abstract = "Background: Hyponatraemia is associated with increased morbidity, increased mortality and is frequently hospital-acquired due to inappropriate administration of hypotonic fluids. Despite several attempts to minimise the risk, knowledge is lacking as to whether inappropriate prescribing practice continues to be a concern. Methods: A cross-sectional survey was performed in Danish emergency department physicians in spring 2019. Prescribing practices were assessed by means of four clinical scenarios commonly encountered in the emergency department. Thirteen multiple-choice questions were used to measure knowledge. Results: 201 physicians responded corresponding to 55.4% of the total population of physicians working at emergency departments in Denmark. About a quarter reported that they would use hypotonic fluids in patients with increased intracranial pressure and 29.4% would use hypotonic maintenance fluids in children, both of which are against guideline recommendations. Also, 29.4% selected the correct fluid, a 3% hypertonic saline solution, for a patient with hyponatraemia and severe neurological symptoms, which is a medical emergency. Most physicians were unaware of the impact of hypotonic fluids on plasma sodium in acutely ill patients. Conclusion: Inappropriate prescribing practices and limited knowledge of a large number of physicians calls for further interventions to minimise the risk of hospital-acquired hyponatraemia.",
keywords = "hyponatraemia, fluid therapy, intravenous fluids, prescribing practice, knowledge, PHYSICIAN PRACTICE, CHILDREN, GUIDELINE, SALINE",
author = "Per Sindahl and Christian Overgaard-Steensen and Helle Wallach-Kildemoes and {De Bruin}, {Marie Louise} and Leufkens, {Hubert G. M.} and Kaare Kemp and Helga Gardarsdottir",
year = "2020",
doi = "10.3390/jcm9092790",
language = "English",
volume = "9",
journal = "Journal of Clinical Medicine",
issn = "2077-0383",
publisher = "M D P I AG",
number = "9",

}

RIS

TY - JOUR

T1 - Are Further Interventions Needed to Prevent and Manage Hospital-Acquired Hyponatraemia?

T2 - A Nationwide Cross-Sectional Survey of IV Fluid Prescribing Practices

AU - Sindahl, Per

AU - Overgaard-Steensen, Christian

AU - Wallach-Kildemoes, Helle

AU - De Bruin, Marie Louise

AU - Leufkens, Hubert G. M.

AU - Kemp, Kaare

AU - Gardarsdottir, Helga

PY - 2020

Y1 - 2020

N2 - Background: Hyponatraemia is associated with increased morbidity, increased mortality and is frequently hospital-acquired due to inappropriate administration of hypotonic fluids. Despite several attempts to minimise the risk, knowledge is lacking as to whether inappropriate prescribing practice continues to be a concern. Methods: A cross-sectional survey was performed in Danish emergency department physicians in spring 2019. Prescribing practices were assessed by means of four clinical scenarios commonly encountered in the emergency department. Thirteen multiple-choice questions were used to measure knowledge. Results: 201 physicians responded corresponding to 55.4% of the total population of physicians working at emergency departments in Denmark. About a quarter reported that they would use hypotonic fluids in patients with increased intracranial pressure and 29.4% would use hypotonic maintenance fluids in children, both of which are against guideline recommendations. Also, 29.4% selected the correct fluid, a 3% hypertonic saline solution, for a patient with hyponatraemia and severe neurological symptoms, which is a medical emergency. Most physicians were unaware of the impact of hypotonic fluids on plasma sodium in acutely ill patients. Conclusion: Inappropriate prescribing practices and limited knowledge of a large number of physicians calls for further interventions to minimise the risk of hospital-acquired hyponatraemia.

AB - Background: Hyponatraemia is associated with increased morbidity, increased mortality and is frequently hospital-acquired due to inappropriate administration of hypotonic fluids. Despite several attempts to minimise the risk, knowledge is lacking as to whether inappropriate prescribing practice continues to be a concern. Methods: A cross-sectional survey was performed in Danish emergency department physicians in spring 2019. Prescribing practices were assessed by means of four clinical scenarios commonly encountered in the emergency department. Thirteen multiple-choice questions were used to measure knowledge. Results: 201 physicians responded corresponding to 55.4% of the total population of physicians working at emergency departments in Denmark. About a quarter reported that they would use hypotonic fluids in patients with increased intracranial pressure and 29.4% would use hypotonic maintenance fluids in children, both of which are against guideline recommendations. Also, 29.4% selected the correct fluid, a 3% hypertonic saline solution, for a patient with hyponatraemia and severe neurological symptoms, which is a medical emergency. Most physicians were unaware of the impact of hypotonic fluids on plasma sodium in acutely ill patients. Conclusion: Inappropriate prescribing practices and limited knowledge of a large number of physicians calls for further interventions to minimise the risk of hospital-acquired hyponatraemia.

KW - hyponatraemia

KW - fluid therapy

KW - intravenous fluids

KW - prescribing practice

KW - knowledge

KW - PHYSICIAN PRACTICE

KW - CHILDREN

KW - GUIDELINE

KW - SALINE

U2 - 10.3390/jcm9092790

DO - 10.3390/jcm9092790

M3 - Journal article

C2 - 32872460

VL - 9

JO - Journal of Clinical Medicine

JF - Journal of Clinical Medicine

SN - 2077-0383

IS - 9

M1 - 2790

ER -

ID: 251025559