DYSNATREMIAS IN PEDIATRIC CRITICAL CARE, ETIOLOGY,EPIDEMIOLOGY AND EFFECT ON OUTCOMES
Keywords:Dysnatremia,, Hypernatremia,, Hyponatremia,, Pediatrics,, Critical care.
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.