Serum osmolarity as a predictor of mortality in ICU COVID-19 patients: a retrospective analysis

Lower admission serum osmolarity and hyponatremia were independently associated with increased in-hospital mortality in critically ill COVID-19 patients. Although Na slightly outperformed calculated osmolarity, the latter remains a practical, integrative prognostic tool for early risk stratification. Prospective studies should evaluate whether timely correction of hypo-osmolar or hyponatremic states improves outcomes.

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Publication Details

Journal
PeerJ
Published
2026-01-12
DOI
https://doi.org/10.7717/peerj.20590
Primary Topic
Electrolyte and hormonal disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

Serum osmolarity as a predictor of mortality in ICU COVID-19 patients: a retrospective analysis

özgür dikme, Taner Akkoç, Mehmet Toptaş, Abdurrahman Tünay et al.
PeerJ
Electrolyte and hormonal disorders
article

Serum osmolarity as a predictor of mortality in ICU COVID-19 patients: a retrospective analysis

özgür dikme, Taner Akkoç, Mehmet Toptaş, Abdurrahman Tünay, Mensure Yilmaz Cakirgoz, Özlem Dikme
article en

Abstract

Lower admission serum osmolarity and hyponatremia were independently associated with increased in-hospital mortality in critically ill COVID-19 patients. Although Na slightly outperformed calculated osmolarity, the latter remains a practical, integrative prognostic tool for early risk stratification. Prospective studies should evaluate whether timely correction of hypo-osmolar or hyponatremic states improves outcomes.

PeerJVol. 14
Izmir University (TR), Fatih University Medical Faculty Hospital (TR), Türk Anesteziyoloji ve Reanimasyon Derneği (TR), Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi (TR)
Openalex Percentile: Top 91%
Electrolyte and hormonal disorders
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