Primary endpoint | • Change in serum sodium concentrations over time, from day 1 to day 4 |
Secondary endpoints | • Difference between groups of area under the curve of serial direct serum sodium measurements in mmol/L • Serum sodium increment in the first 24 and 48 h • Proportion of patients normalising serum sodium (defined as serum sodium ≥ 135 mmol/L) • Length of hospital stay • Requirement for serum sodium re-lowering with enteral or IV dextrose/water and/or desmopressin o Main safety outcome: difference between rates of above-target correction of serum sodium leading to attenuation/reversal therapy (e.g. IV dextrose administration) • Cognitive and functional measures at 24, 48 and 72 h (or discharge if sooner) o Confusion Assessment Method Shortform (CAM-S) score o Hyponatraemia symptom questionnaire score o Timed Up and Go test score • 30-day readmission rate • Exit questionnaire treatment satisfaction score • Serum sodium concentration 30 days after discharge |