Open AccessPrevalence and Clinical Significance of Hyponatremia in Pediatric Intensive Care
Author(s) -
Khouloud Abdulrhman Al-Sofyani
Publication year - 2019
Publication title -
journal of pediatric intensive care
Language(s) - English
Resource type - Journals
eISSN - 2146-4618
pISSN - 2146-4626
DOI - 10.1055/s-0038-1676635
Subject(s) - medicine , hyponatremia , pediatric intensive care unit , mechanical ventilation , intensive care unit , intensive care medicine , emergency medicine , retrospective cohort study , risk of mortality , severity of illness , pediatrics , intensive care
A retrospective chart review was conducted to estimate the prevalence and severity level of hyponatremia on admission at the pediatric intensive care unit (PICU) in a Saudi tertiary hospital. Hyponatremia was highly prevalent (67.2%) and severe hyponatremia was frequent among patients with Pediatric Risk of Mortality score > 10%. Severe hyponatremia was also associated with increased length of stay ( p = 0.04) and a trend of increased mortality ( p = 0.054). However, disease severity was not an independent risk factor of mortality in PICU, but might confound other risk factors that render the children requiring prolonged hospital stay, mechanical ventilation, and increased health costs.