Riffat Omer, Muhammad Khalid Masood, Saima Asghar, Muhammad Jawad, Amir Afzal, Humayun Iqbal Khan.
Dysnatremias; Dysnatremias In Pediatric Critical Care, Etiology, Epidemiology And Effect On Outcomes.
Professional Med J Jan ;24(7):1076-80.

Dysnatremias (hyponatremia and hypernatremia) are common electrolyte disorders encountered in pediatric critical care patients. The spectrum of both hypo- and hypernatremia varies from mild to severe, being life threatening occasionally. We carried out a study to determine the etiology, epidemiology and effect of dysnatremias on outcomes of pediatric critical care patients. Objectives: To determine the etiology, epidemiology and effect of dysnatremias on outcomes of pediatric critical care patients. Study Design: Prospective, observational study. Setting: Paediatric Intensive Care Unit (PICU) Services Hospital Lahore. Period: October 2014 to March 2015. Results: 185 patients were included. 19 (10.3%) patients had hyponatremia and 22 (11.9%) patients had hypernatremia. A weak but significant inverse relationship between presentation serum sodium and mortality was observed (r = - 0.39, n=185, p= <0.001, two-tailed). Conclusions: Presentation serum sodium may influence the outcomes of the patients admitted to the pediatric intensive care unit.

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