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Table 1 Characteristics of 204 malaria patients in the copeptin study.

From: Hyponatraemia in imported malaria: the pathophysiological role of vasopressin

 

Moderate-to-severe hyponatraemia

(n = 31)

Mild hyponatraemia

(n = 68)

Normonatraemia

(n = 105)

P-value*

Demographics

    

Age, years

42 (11-64)

40 (13-69)

39 (8 - 70)

n.s.

Male, female, n (%)

22 (71), 9 (29)

52 (76), 16 (24)

77 (73), 28 (27)

n.s.

Malaria species

    

falciparum, non-falciparum, n (%)

26 (84), 5 (16)

54 (79), 12 (21)

61 (58), 44 (42)

0.0008

Severe malaria, n (%)

10 (40)

10 (40)

5 (20)

< 0.0001

Parasite load#, parasites/μL

85900 (400 - 567000) B < 0,001

11032 (2 - 860000)

4600 (30 - 1380600)

0.0013

Vital signs on admission

    

Body temperature, °C

39.0 (35.7 - 40.8)

38.9 (35.7 - 41.2)

38.2 (36.0 - 41.2)

0.0315

Pulse rate, beats per minute

100 (58 - 140 ) B < 0,01

95 (64 - 130)

85 (60 - 130)

0.0109

Systolic blood pressure, mm Hg

120 (80 - 147)

120 (88 - 165)

120 (95 - 196)

n.s.

Laboratory data on admission

    

C-reactive protein, mg/L

159 (32 - 352) A < 0,01; B < 0,001

101 (7 - 310) C < 0,05

78 (7 - 407)

< 0.0001

Haematocrit, L/L

0.35 (0.15 - 0.50) A < 0,01

0.41 (0.12 - 0.52)

0.39 (0.26 - 0.53)

0.0006

Serum glucose, mmol/L

6.9 (4.1 - 26.0) B < 0,05

7.0 (4.2 - 10.3) C < 0,001

6.3 (4.1 - 14.9)

0.0003

Serum creatinine, μmol/L

111 (70 - 1081) B < 0,05

97 (55 - 135)

93 (46 - 208)

0.0180

Serum urea, mmol/L

6.4 (3.6 - 55.8) B < 0,01

5.2 (2.2 - 13.5)

4.9 (2.7 - 21.1)

0.0061

Prerenal azotaemia&, n (%)

2 (6)

2 (3)

2 (2)

n.s.

Copeptin, pmol/L

18.5 (3.3 - 91.5) B < 0,05

13.2 (1.6 - 71.2)

12.7 (1.6 - 82.9)

0.0268

Duration hospitalisation, days

6 (1 - 13) B < 0,001

5 (0 - 11) C < 0,001

3 (0 - 12)

< 0.0001

  1. Parameters at initial presentation are shown in relation to serum sodium level on admission. Data are given as median (range) or as indicated otherwise.
  2. * Univariate comparison were performed using Kruskall-Wallis (P-values are given in the column) and Dunn's post-hoc tests (p-values in superscript). A: comparison of severe hyponatraemia vs mild hyponatraemia; B: comparison of severe hyponatraemia vs normonatraemia; C: comparison of mild hyponatraemia vs normonatraemia. # P.falciparum parasite load only. &defined as ratio serum urea/serum creatinin > 1:10; n.s. = denotes "not significant difference"