Hyponatremia Is Associated With Increased Osteoporosis and Bone Fractures in Patients With Diabetes With Matched Glycemic Control. (Record no. 10965)

MARC details
000 -LEADER
fixed length control field 03213nam a22004337a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 190314s20192019 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2472-1972
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1210/js.2018-00320 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code js_201800320 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC6364625 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 30746503
245 ## - TITLE STATEMENT
Title Hyponatremia Is Associated With Increased Osteoporosis and Bone Fractures in Patients With Diabetes With Matched Glycemic Control.
251 ## - Source
Source Journal of the Endocrine Society. 3(2):411-426, 2019 Feb 01.
252 ## - Abbreviated Source
Abbreviated source J. endocr. soc.. 3(2):411-426, 2019 Feb 01.
253 ## - Journal Name
Journal name Journal of the Endocrine Society
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2019
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2019-03-14
520 ## - SUMMARY, ETC.
Abstract Conclusions: Our analyses support the hypothesis that hyponatremia is an additional risk factor for osteoporosis and fragility fracture among patients with diabetes mellitus.
520 ## - SUMMARY, ETC.
Abstract Context: Patients with diabetes mellitus are at increased risk for bone fragility fracture secondary to multiple mechanisms. Hyperglycemia can induce true dilutional hyponatremia. Hyponatremia is associated with gait instability, osteoporosis, and increased falls and bone fractures, and studies suggest that compromised bone quality with hyponatremia may be independent of plasma osmolality. We performed a case-control study of patients with diabetes mellitus matched by median glycated hemoglobin (HbA1c) to assess whether hyponatremia was associated with increased risk of osteoporosis and/or fragility fracture.
520 ## - SUMMARY, ETC.
Abstract Design: Osteoporosis (n = 823) and fragility fracture (n = 840) cases from the MedStar Health database were matched on age of first HbA1c >=6.5%, sex, race, median HbA1c over an interval from first HbA1c >=6.5% to the end of the encounter window, diabetic encounter window length, and type 1 vs type 2 diabetes mellitus with controls without osteoporosis (n = 823) and without fragility fractures (n = 840), respectively. Clinical variables, including coefficient of glucose variation and hyponatremia (defined as serum [Na<sup>+</sup>] <135 mmol/dL within 30 days of the end of the diabetic window), were included in a multivariate analysis.
520 ## - SUMMARY, ETC.
Abstract Results: Multivariate conditional logistic regression models demonstrated that hyponatremia within 30 days of the outcome measure was independently associated with osteoporosis and fragility fractures (osteoporosis OR 3.09; 95% CI, 1.37 to 6.98; fracture OR, 6.41; 95% CI, 2.44 to 16.82).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/General Internal Medicine
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Fernandez, Stephen J
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Mete, Mihriye
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shara, Nawar M
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Usala, Rachel L
790 ## - Authors
All authors Fernandez SJ, Mete M, Shara NM, Usala RL, Verbalis JG
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1210/js.2018-00320">https://dx.doi.org/10.1210/js.2018-00320</a>
Public note https://dx.doi.org/10.1210/js.2018-00320
858 ## - ORCID
ORCID text Usala, Rachel L
Orcid <a href="https://orcid.org/0000-0002-3480-5996">https://orcid.org/0000-0002-3480-5996</a>
Name https://orcid.org/0000-0002-3480-5996
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 03/14/2019   30746503 30746503 03/14/2019 03/14/2019 Journal Article

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