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Hypernatremia is a frequent complication of hospitalization, and is associated with increased mortality. Our aim was to assess the prevalence of sodium and potassium hypernatremia in hospitalized patients in two hospitals and to relate the magnitude of hypernatremia with death. A cross-sectional observational study was carried out including all patients with serum sodium and potassium concentrations measured during hospitalization. Na and K were obtained using a StatLab 25i equipment. The prevalence of hypernatremia was 18.6% (n=78,694), with 8% of hyperkalemia and 12% of hypernatremia, both more prevalent in the male gender and the elderly. The mortality associated with hyperkalemia and hypernatremia was increased comparing to patients with normokalemia and normonatremia. Hypernatremia was significantly more common in intensive care unit patients (32.7%, n=12,122) than in non-intensive care unit patients (19.7%, n=33,424). The prevalence of hypernatremia is high, and shows an association with increased mortality.Q:
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