Electrolyte imbalance in critically ill paediatric patients

Naseem, Faizia; Saleem, Ayesha; Mahar, Imtiaz Ahmed; Arif, Fehmina

doi:10.12669/pjms.35.4.286

Cited by 22 publications

(30 citation statements)

References 14 publications

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“…In this study, we detected that hyperkalemia was the second most common serum electrolyte abnormality next to hyponatremia (27.5%). Previous studies have reported the incidence of hyperkalemia as 26.8%, 26.6%, 24.8%, 14%, 18.8%, 15.3% (4,6,(13)(14)(15)18). In our study, the most common underlying disease of those with hyperkalemia was asthma/acute bronchiolitis.…”

Section: Discussionsupporting

confidence: 54%

“…The most common underlying disease in these cases was acute gastroenteritis. In different studies this incidence was reported 64%, 57.4%, 49%, 28%, 30.58%, 9.6% (4,6,(13)(14)(15)18) .The incidence of hypokalemia was higher than our results in all studies except Rothrock et al (13).…”

Section: Table Iii: Demographiccontrasting

confidence: 52%

“…In our study, the most common electrolyte disorder was hyponatremia, while the least common was hypernatremia (9,5%). On the other hand, Naseem et al (15) found the most common electrolyte disorder was hypernatremia after hypocalcemia in their study. Similarly, Haider et al (18) reported hypernatremia more than hyponatremia in their study.…”

Section: Discussionmentioning

confidence: 76%

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Çocuk Acil Kliniğinde Sodyum ve Potasyum Bozuklukları: Tek Merkez Deneyimi

Konuksever

KARAKAYA

2022

Türkiye Çocuk Hast Derg

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Amaç: Bu çalışmada çocuk acil servis başvurularında sodyum ve potasyum bozuklukları spektrumunun incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Araştırmamız kesitsel ve tek merkezlidir. 2017-2020 yılları arasında çocuk acil kliniğine herhangi bir nedenle başvurup tetkiklerinde sodyum ve/veya potasyum bozukluğu tespit edilen, 18 yaşından küçük hastalar çalışmaya dahil edildi. Hastaların başvuru tanıları ve elektrolit düzeyleri kaydedildi. Elektrolit bozuklukları hafif, orta ve şiddetli olarak gruplandırıldı. Bulgular: Çalışmaya toplam 757 hasta dahil edildi. Bunların 358 (%47.3)’i kız ve 399 (%52.7)’u erkekti. Katılımcıların 649 (85.8%)’nda tekli elektrolit bozukluğu saptanırken 108 (%14.2)’nde mikst tipte elektrolit bozukluğu saptandı. Hastalarda en sık rastlanan elektrolit bozukluğu hiponatremiydi (%56). Bunu sırasıyla hiperkalemi (%27.5), hipokalemi (%19.9) ve hipernatremi (%10.8) izledi. Akut gastroenterit, hem tek hem de mikst elektrolit bozukluğu gruplarında en sık altta yatan hastalıktı. Sonuç: Çalışmamız, çocuk acil servislerinde en sık elektrolit bozukluklarının gastroenteritli hastalarda meydana geldiğini saptamıştır. Bu bozukluklar genellikle hafif şiddetteydi. Hafif elektrolit bozuklukları subklinik olabilir, bu nedenle pediatrik acil serviste rutin elektrolit ölçümü erken tanı için önemlidir.

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Section: Discussionsupporting

confidence: 54%

Section: Table Iii: Demographiccontrasting

confidence: 52%

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Çocuk Acil Kliniğinde Sodyum ve Potasyum Bozuklukları: Tek Merkez Deneyimi

Konuksever

KARAKAYA

2022

Türkiye Çocuk Hast Derg

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“…within 48 hours of admission, was reported in 14 cases of which 12 had electrolyte disturbances. 27 .…”

Section: Discussionmentioning

confidence: 99%

Frequency of Electrolyte Disorders and Its Effect On Mortality Among Children Admitted In Pediatric Intensive Care Unit

Haider¹,

Hameed²,

Fatima³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

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Objective: To determine the frequency of electrolyte disorders, i.e., serum sodium and potassium and to evaluate its effect on mortality rate among children admitted at the pediatric intensive care unit. Study Design and Setting: This was a descriptive cross sectional study conducted at Pediatric Intensive care unit of Civil Hospital Karachi from April to December 2017 Methodology: Informed consent was obtained from 150 parents of the children who fulfill the inclusion criteria. Laboratory data (serum sodium and serum potassium) were recorded during the stay in the pediatric intensive care unit. Data was analyzed using SPSS version 20. Mean ± S.D was calculated for quantitative variables. Frequency and percentage were calculated for gender, electrolyte disorders and mortality. Effect modifiers were controlled by stratification of age, gender and electrolyte disorders (Hypernatremia, Hyponatremia, Hyperkalemia, and Hypokalemia). Post-stratification, Chi-squared test was applied. P-value = 0.05 was taken as significant. Results: Out of 150 patients, electrolyte disorders in terms of serum sodium and potassium, were found in 86(57.3%) children. Mortality in children with electrolyte disorders was found to be 46(53.5%) which was significantly higher (P<0.001) than patients without electrolyte disorders 40(46.5%). Hypernatremia was found in 48(32%), hyponatremia 24(16%), hyperkalemia 21(14%) and hypokalemia in 42(28%) patients.In comparison; of electrolyte disorders with mortality; significant association was found in hypernatremia (P<0.001), and hyperkalemia (P<0.001). Conclusion: The most common electrolyte abnormalities were hypernatremia and hypokalemia. Mortality was significantly higher in subjects with electrolyte disorders, especially hypernatremia and hyperkalemia

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“…(Table 6). 11,12 Hypokalemia is serum potassium concentration below 3.5 mEq/l.9 It occurs in about 15% children admitted to PICU. 13 Figure 2 shows that in this study distribution of electrolyte abnormalities were Hyponatremia (10.59%), Hypernatremia (4.70%), Hypokalemia (3.82%), Hyperkalemia (16.18%) being highest, Hypocalcemia (2.62%).…”

Section: Resultsmentioning

confidence: 99%

Demographic variation of electrolyte imbalance in a tertiary care pediatric intensive care unit

Routray

Kishore

Champatiray

et al. 2020

Int J Contemp Pediatr

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Background: Electrolyte imbalances are common in critically ill paediatric patients. When present, they can significantly affect the outcome. Critical care provision through Paediatric Intensive Care Units (PICU) is aimed at maintaining ‘homeostasis’ in the body which is vital for the organ’s support and optimal function. This involves fluids and electrolytes balance.Methods: This prospective observational study was conducted in the PICU, SCB MC and Hospital, Cuttack during November 2015 to October 2017. includes Children admitted to PICU (Based on consensus guidelines for PICUs in India, Indian Society of Critical Care Medicine (Pediatric Section) and Indian Academy of Pediatrics (Intensive Care Chapter).Results: Percentage of male children was 65.9%, with male to female ratio 1.9:1, showing male dominance. Most electrolyte imbalances were seen in age group of 1 to 5 years (67.06%). Abnormal serum electrolyte was seen in 37.91% in our study. SIADH was observed in 43.5% of euvolemic hyponatremic patients. SIADH was observed in 27.8% of hyponatremic patients. Respiratory disorder was the most common attributing factor for SIADH followed by CNS disorder.Conclusions: The present study showed high incidence of electrolyte abnormalities in patients admitted to pediatric intensive care unit. Though at times symptoms of electrolyte disorder is indistinguishable from symptoms of primary pathology, so a close monitoring and correction of electrolyte abnormalities is necessary for better outcome. SIADH is recognizable and common cause of electrolyte imbalance in PICU. Thus, this study recommends early routine monitoring of serum electrolytes in all patients admitted to PICU.

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Electrolyte imbalance in critically ill paediatric patients

Cited by 22 publications

References 14 publications

Çocuk Acil Kliniğinde Sodyum ve Potasyum Bozuklukları: Tek Merkez Deneyimi

Çocuk Acil Kliniğinde Sodyum ve Potasyum Bozuklukları: Tek Merkez Deneyimi

Frequency of Electrolyte Disorders and Its Effect On Mortality Among Children Admitted In Pediatric Intensive Care Unit

Demographic variation of electrolyte imbalance in a tertiary care pediatric intensive care unit

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