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Preventive Medicine 2018

Journal of Preventive Medicine

ISSN: 2572-5483

Page 39

July 16-17, 2018

London, UK

9

th

Edition of International Conference on

Preventive Medicine

& Public Health

W

e experienced a case of severe hyponatremia (serum Na

level, 104 mEq/L) while treating with a thiazide diuretic

for hypertension. Then, we surveyed the frequency of patients

with profound hyponatremia (<125 mEq/L) at the admission

to Matsumoto Medical Center Matsumoto Hospital from

May 2016 to April 2017 during one year prior to the hospital

admission of the index patient. The patients with profound

hyponatremia were 127 in 4,223 newly admitted patients. Out

of 127 patients, 118 patients were aged 65 years or older.

Ten patients with severe hyponatremia (<115 mEq/L) were all

older than 65 years, in which two patients including the index

patient were prescribed a thiazide diuretic. Table 1 shows the

frequency of patients with profound hyponatremia each month

during the surveillance period. It is of interest that seasonal

variation was found in the number of the patients with profound

hyponatremia. The frequency was significantly (p=0.013,

unpaired t-test) low during the relatively cold period around

Matsumoto City in Japan from November to March compared

to the other period in the year. Such seasonal variation suggests

that the occurrence of profound hyponatremia is to no small

extent attibutable to elderly patients’ living environment.

This finding is also expected to help healthcare providers in

Preventive Medicine and Public Health.

Biography

Nobukazu Sasaki is a Resident Physician of National Hospital Organization

Matsumoto Medical Center, Matsumoto, Japan. He got his Medical Doctor

in 2017 at Shinshu University School of Medicine, Matsumoto, Japan.

Med.swimming2011@gmail.com

Seasonal variation in the number of patients with profound

hyponatremia (<125 mEq/L) at the admission to Matsumoto

Medical Center in Japan

Nobukazu Sasaki

1

, Shoko Kimura

and

Yuji Aoki

1

National Hospital Organaization Matsumoto Medical Center, Japan

Nobukazu Sasaki et al., J Prev Med 2018, Volume 3

DOI: 10.21767/2572-5483-C1-002