Hyponatremia in children hospitalized with pneumonia Pnömoni nedeniyle hastaneye yati{dotless}ri{dotless}lan çocuklarda hiponatremi
Cocuk Enfeksiyon Dergisi, cilt.7, sa.3, ss.102-105, 2013 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 3
- Basım Tarihi: 2013
- Doi Numarası: 10.5152/ced.2013.29
- Dergi Adı: Cocuk Enfeksiyon Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.102-105
- Anahtar Kelimeler: Hyponatremia, pneumonia, inappropriate ADH syndrome
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Objective: Hyponatremia is the most common electrolyte disorder in children hospitalized for various reasons. In this study, we aimed to determine the frequency of hyponatremia in children hospitalized due to pneumonia and to analyze the factors associated with its occurence. Material and Methods: The medical records were retrospectively reviewed for 92 children (57% boys) with pneumonia aged 2 to 17 years. Information on variables including the child's age and gender, clinical features of pneumonia, duration of hospitalization, nonspecific markers of inflammation, and biochemical examinations (urea, creatinine, sodium) were also recorded. Patients were grouped according to serum sodium levels; normonatremia (135-145 mmol/L), mild hyponatremia (131-134 mmol/L), moderate hyponatremia (126-130 mmol/L), severe hyponatremia (≤125 mmol/L), and hypernatremia (>145 mmol/L). Results: Twenty five (27%) patients had mild hyponatremia, four (4%) patients had moderate hyponatremia. There was no patient with severe hyponatremia or hypernatremia. Although the mean age was similar in children with hyponatremia and normal serum sodium levels, hyponatremia is more common in boys. The serum sodium levels were negatively correlated with acute phase reactants including leucocyte count (r=-0.373, p=0.001), the percentage of neutrophils (r=-0.251, p=0.025) and C-reactive protein level (r=-0.261, p=0.019). However, it was not associated with clinical findings and the duration of hospitalization. The degree of hyponatremia seems to be associated with acute phase reactants including leucocytes count, the percentage of neutrophils and CRP levels. Conclusion: Hyponatremia is very common among children hospitalized with pneumonia but is usually mild. We suggest that serum and urine sodium levels be monitored closely in patients hospitalized with pneumonia. © 2013 by Pediatric Infectious Diseases Society.