A Randomized Trial of Targeted Hyponatremia Correction in Hospitalized Patients.

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Title: A Randomized Trial of Targeted Hyponatremia Correction in Hospitalized Patients.
Authors: Refardt J; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands., Potasso L; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; University Institute of Internal Medicine, Cantonal Hospital Baselland, Liestal, Switzerland., Pelouto A; Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands., Trappe M; Emergency Department, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany., Gregoriano C; Division of Endocrinology, Diabetes, and Metabolism and Division of General Internal Medicine, Medical University Clinic, Medical Faculty, University of Basel, Cantonal Hospital Aarau, Aarau, Switzerland., Koster M; Department of Endocrinology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland., Vodanovic ID; Department of Endocrinology, University Hospital Centre Zagreb, Zagreb, Croatia., Norello D; Pituitary Diseases and Sodium Alterations Unit, Department of Endocrinology, Careggi University Hospital, Florence, Italy., Ravioli S; Department of Internal and Emergency Medicine, Public Hospital Solothurn, Solothurn, Switzerland.; Department of Emergency Medicine, Kepler University Hospital, Johannes Kepler University, Linz, Austria., Cukoski S; Emergency Department, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany., Boesing M; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; University Institute of Internal Medicine, Cantonal Hospital Baselland, Liestal, Switzerland., Ryser B; Department of Internal and Emergency Medicine, Public Hospital Solothurn, Solothurn, Switzerland., Sambula L; Department of Endocrinology, University Hospital Centre Zagreb, Zagreb, Croatia., Rapsch N; Emergency Department, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany., Monnerat S; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Beck J; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Lustenberger S; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Vogt DR; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Werlen L; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., de Jesus JS; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland., Bontognali M; Department of Endocrinology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland., Schuetz P; Division of Endocrinology, Diabetes, and Metabolism and Division of General Internal Medicine, Medical University Clinic, Medical Faculty, University of Basel, Cantonal Hospital Aarau, Aarau, Switzerland., Zandbergen AAM; Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands., Peri A; Pituitary Diseases and Sodium Alterations Unit, Department of Endocrinology, Careggi University Hospital, Florence, Italy.; Department of Experimental and Clinical Biomedical Sciences 'Mario Serio', University of Florence, Florence, Italy., Kastelan D; Department of Endocrinology, University Hospital Centre Zagreb, Zagreb, Croatia., Lindner G; Department of Internal and Emergency Medicine, Public Hospital Solothurn, Solothurn, Switzerland.; Department of Emergency Medicine, Kepler University Hospital, Johannes Kepler University, Linz, Austria., Leuppi J; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; University Institute of Internal Medicine, Cantonal Hospital Baselland, Liestal, Switzerland., Bilz S; Department of Endocrinology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland., Mueller B; Division of Endocrinology, Diabetes, and Metabolism and Division of General Internal Medicine, Medical University Clinic, Medical Faculty, University of Basel, Cantonal Hospital Aarau, Aarau, Switzerland., Burst V; Emergency Department, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany., Hoorn EJ; Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands., Christ-Crain M; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.
Source: NEJM evidence [NEJM Evid] 2026 Mar; Vol. 5 (3), pp. EVIDoa2500086. Date of Electronic Publication: 2026 Feb 24.
Publication Type: Journal Article; Randomized Controlled Trial; Multicenter Study
Journal Info: Publisher: NEJM Group, a division of the Massachusetts Medical Society Country of Publication: United States NLM ID: 9918317485806676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2766-5526 (Electronic) Linking ISSN: 27665526 NLM ISO Abbreviation: NEJM Evid Subsets: MEDLINE
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  Data: <searchLink fieldCode="AU" term="%22Refardt+J%22">Refardt J</searchLink>; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Potasso+L%22">Potasso L</searchLink>; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; University Institute of Internal Medicine, Cantonal Hospital Baselland, Liestal, Switzerland.<br /><searchLink fieldCode="AU" term="%22Pelouto+A%22">Pelouto A</searchLink>; Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Trappe+M%22">Trappe M</searchLink>; Emergency Department, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Gregoriano+C%22">Gregoriano C</searchLink>; Division of Endocrinology, Diabetes, and Metabolism and Division of General Internal Medicine, Medical University Clinic, Medical Faculty, University of Basel, Cantonal Hospital Aarau, Aarau, Switzerland.<br /><searchLink fieldCode="AU" term="%22Koster+M%22">Koster M</searchLink>; Department of Endocrinology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.<br /><searchLink fieldCode="AU" term="%22Vodanovic+ID%22">Vodanovic ID</searchLink>; Department of Endocrinology, University Hospital Centre Zagreb, Zagreb, Croatia.<br /><searchLink fieldCode="AU" term="%22Norello+D%22">Norello D</searchLink>; Pituitary Diseases and Sodium Alterations Unit, Department of Endocrinology, Careggi University Hospital, Florence, Italy.<br /><searchLink fieldCode="AU" term="%22Ravioli+S%22">Ravioli S</searchLink>; Department of Internal and Emergency Medicine, Public Hospital Solothurn, Solothurn, Switzerland.; Department of Emergency Medicine, Kepler University Hospital, Johannes Kepler University, Linz, Austria.<br /><searchLink fieldCode="AU" term="%22Cukoski+S%22">Cukoski S</searchLink>; Emergency Department, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Boesing+M%22">Boesing M</searchLink>; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; University Institute of Internal Medicine, Cantonal Hospital Baselland, Liestal, Switzerland.<br /><searchLink fieldCode="AU" term="%22Ryser+B%22">Ryser B</searchLink>; Department of Internal and Emergency Medicine, Public Hospital Solothurn, Solothurn, Switzerland.<br /><searchLink fieldCode="AU" term="%22Sambula+L%22">Sambula L</searchLink>; Department of Endocrinology, University Hospital Centre Zagreb, Zagreb, Croatia.<br /><searchLink fieldCode="AU" term="%22Rapsch+N%22">Rapsch N</searchLink>; Emergency Department, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Monnerat+S%22">Monnerat S</searchLink>; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.<br /><searchLink fieldCode="AU" term="%22Beck+J%22">Beck J</searchLink>; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.<br /><searchLink fieldCode="AU" term="%22Lustenberger+S%22">Lustenberger S</searchLink>; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.<br /><searchLink fieldCode="AU" term="%22Vogt+DR%22">Vogt DR</searchLink>; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.<br /><searchLink fieldCode="AU" term="%22Werlen+L%22">Werlen L</searchLink>; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.<br /><searchLink fieldCode="AU" term="%22de+Jesus+JS%22">de Jesus JS</searchLink>; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.<br /><searchLink fieldCode="AU" term="%22Bontognali+M%22">Bontognali M</searchLink>; Department of Endocrinology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.<br /><searchLink fieldCode="AU" term="%22Schuetz+P%22">Schuetz P</searchLink>; Division of Endocrinology, Diabetes, and Metabolism and Division of General Internal Medicine, Medical University Clinic, Medical Faculty, University of Basel, Cantonal Hospital Aarau, Aarau, Switzerland.<br /><searchLink fieldCode="AU" term="%22Zandbergen+AAM%22">Zandbergen AAM</searchLink>; Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Peri+A%22">Peri A</searchLink>; Pituitary Diseases and Sodium Alterations Unit, Department of Endocrinology, Careggi University Hospital, Florence, Italy.; Department of Experimental and Clinical Biomedical Sciences 'Mario Serio', University of Florence, Florence, Italy.<br /><searchLink fieldCode="AU" term="%22Kastelan+D%22">Kastelan D</searchLink>; Department of Endocrinology, University Hospital Centre Zagreb, Zagreb, Croatia.<br /><searchLink fieldCode="AU" term="%22Lindner+G%22">Lindner G</searchLink>; Department of Internal and Emergency Medicine, Public Hospital Solothurn, Solothurn, Switzerland.; Department of Emergency Medicine, Kepler University Hospital, Johannes Kepler University, Linz, Austria.<br /><searchLink fieldCode="AU" term="%22Leuppi+J%22">Leuppi J</searchLink>; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.; University Institute of Internal Medicine, Cantonal Hospital Baselland, Liestal, Switzerland.<br /><searchLink fieldCode="AU" term="%22Bilz+S%22">Bilz S</searchLink>; Department of Endocrinology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.<br /><searchLink fieldCode="AU" term="%22Mueller+B%22">Mueller B</searchLink>; Division of Endocrinology, Diabetes, and Metabolism and Division of General Internal Medicine, Medical University Clinic, Medical Faculty, University of Basel, Cantonal Hospital Aarau, Aarau, Switzerland.<br /><searchLink fieldCode="AU" term="%22Burst+V%22">Burst V</searchLink>; Emergency Department, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Hoorn+EJ%22">Hoorn EJ</searchLink>; Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Christ-Crain+M%22">Christ-Crain M</searchLink>; Departments of Endocrinology, Diabetology, and Metabolism, University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.
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