Endocrine & Metabolic Equation Moderate evidence Clinical review pending v1.0.0

Corrected Sodium in Hyperglycaemia

What will the sodium be once hyperglycaemia is corrected?

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About this tool

Sodium corrected for hyperglycaemia using both the Katz and Hillier factors.

Intended use

Patients with hyperglycaemia (e.g. DKA, HHS).

Outcome

Corrected serum sodium

Time horizon

Point in time

Limitations

  • Both correction factors are approximations.

Clinical problems

Evidence

Evidence level

Moderate evidence

Externally validated, or an established physiological equation whose clinical thresholds rest on consensus; guideline support limited or mixed. Methodology

Evidence summaries for this tool are awaiting independent clinical review. Statistics are shown only where they could be attributed to a specific publication.

References

  1. Original publicationKatz MA. Hyperglycemia-induced hyponatremia — calculation of expected serum sodium depression. N Engl J Med 1973;289:843-844. Find on PubMed (opens in a new tab)
  2. Validation studyHillier TA, Abbott RD, Barrett EJ. Hyponatremia: evaluating the correction factor for hyperglycemia. Am J Med 1999;106:399-403. Find on PubMed (opens in a new tab)

Version history

VersionFormulaEffectiveReviewerChanges
v1.0.0Katz 1973; Hillier 19992026-10-03—Initial implementation with reference test vectors.

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Clinical decision support only. Interpret results in the context of the individual patient and current guidance; HumanPulse does not replace professional medical judgment.