Li XJ, Meng HH. Clinical study on the relationship between liver cirrhosis, ascites, and hyponatremia. World J Gastrointest Surg 2024; 16(3): 751-758 [PMID: 38577083 DOI: 10.4240/wjgs.v16.i3.751]
Corresponding Author of This Article
Hui-Hui Meng, MM, Nurse, Department of Hepatology, Hubei Provincial Hospital of Traditional Chinese Medicine, No. 4 Huayuanshan, Wuchang District, Wuhan 430065, Hubei Province, China. lixuanji814@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Gastrointest Surg. Mar 27, 2024; 16(3): 751-758 Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.751
Table 1 General patient information
Feature
Ascites with hyponatremia group (n = 73)
Ascites group (n = 77)
P value
Age
58.2 ± 8.9
54.6 ± 7.7
0.123
Sex (male%)
64.40%
52.00%
0.047
Married
35.60%
41.60%
0.33
Unmarried
21.90%
18.20%
0.478
Divorced/widowed
42.50%
40.20%
0.691
City living
56.20%
61.00%
0.439
Average length of stay (d)
12.7 ± 5.3
10.3 ± 4.1
0.014
Rural residence
43.80%
39.00%
0.561
Table 2 Degree of hyponatremia
Group
Mean serum sodium concentration (mmol/L)
Hyponatremia grade
Ascites with hyponatremia group
128.5 ± 4.3
Severe hyponatremia
Ascites group
137.6 ± 2.1
No hyponatremia
Table 3 Complications
Complication
Ascites with hyponatremia group (%)
Ascites group (%)
P value
Hepatic encephalopathy
56.20%
39.00%
0.024
Renal impairment
45.20%
28.60%
0.038
Infect
37.00%
23.40%
0.048
Bleeding
12.30%
8.10%
0.311
Gastrointestinal bleeding
9.60%
6.50%
0.422
Hepatorenal syndrome
6.80%
4.90%
0.562
Table 4 Treatment status
Treatment measures
Ascites with hyponatremia group (%)
Ascites group (%)
P value
Diuretic medication use
80.80%
62.30%
0.009
Supplementary use of salts
60.30%
38.90%
0.006
Ascites drainage
48.40%
33.80%
0.086
Medical treatment
27.40%
20.80%
0.233
Nutritional support
35.60%
27.30%
0.188
Table 5 Risk factors for ascites and hyponatremia
Risk factors
Multiple logistic regression OR
95%CI
P value
Older age
1.06
1.01-1.12
0.025
Male sex
1.72
1.09-2.72
0.02
Hepatic encephalopathy
1.38
0.89-2.14
0.156
Renal impairment
1.25
0.80-1.95
0.33
Infect
1.19
0.76-1.87
0.455
Diuretic medication use
1.51
0.97-2.35
0.07
Citation: Li XJ, Meng HH. Clinical study on the relationship between liver cirrhosis, ascites, and hyponatremia. World J Gastrointest Surg 2024; 16(3): 751-758