Risk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)

Aim:Lower respiratory tract infection (LRTI) is a serious illness especially in children under 5 years of age. Hyponatremia is the most common electrolyte abnormality seen in hospitalized children. This study aimed to evaluate the correlation between hyponatremia in children admitted to a paediatric...

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Autores principales:	Chinmaya Mahapatra, Vinod Kumar Sharma, Siddhant Singhal, Roshan Kumar Jangid, Tagaram Karthik Laxminath
Formato:	article
Lenguaje:	EN TR
Publicado:	Galenos Yayinevi 2021
Materias:	bronchopneumonia electrolyte hyponatremia lower respiratory tract infection Medicine R Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/8bd120a1fd7441a3b794167c6914e65e
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spelling	oai:doaj.org-article:8bd120a1fd7441a3b794167c6914e65e2021-11-11T11:27:23ZRisk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)2147-94452587-247810.4274/jpr.galenos.2021.79446https://doaj.org/article/8bd120a1fd7441a3b794167c6914e65e2021-12-01T00:00:00Z http://jpedres.org/archives/archive-detail/article-preview/risk-factors-of-hyponatremia-in-children-with-lowe/49637 https://doaj.org/toc/2147-9445https://doaj.org/toc/2587-2478Aim:Lower respiratory tract infection (LRTI) is a serious illness especially in children under 5 years of age. Hyponatremia is the most common electrolyte abnormality seen in hospitalized children. This study aimed to evaluate the correlation between hyponatremia in children admitted to a paediatric ward, in the setting of acute LRTI in different age groups and to determine the association of hyponatremia with different types of acute LRTI in children.Materials and Methods:This study included 231 clinically diagnosed children (1 month to 12 years) with acute LRTI. General examinations and systemic examinations were performed. Laboratory investigations included serum electrolyte level (Na+) and radiological investigations included chest X-ray. The conditions observed in the children included bronchopneumonia (BPN), lobar pneumonia, wheeze-associated LRTI (WALRI), bronchiolitis, and empyema. Statistical analysis was carried out using SPSS 16.0 version. A p-value <0.05 was considered statistically significant.Results:Out of 231 cases, hyponatremia was present in 136 cases (58.9%). Mild, moderate, and severe hyponatremia were present in 83.8%, 13.2%, and 2.9% patients, respectively. Most of the patients with BPN had mild hyponatremia (89%). The prevalence of hyponatremia was significantly higher in children aged 6-10 years [odds ratio (OD)=4.29, 95% confidence interval (CI)=0.90-20.45, p<0.05], females (OR=0.56, 95% CI=0.32-0.96, p=0.03) and cases of empyema (OR=4.49, 95% CI=1.48-13.60, p=0.008).Conclusion:In conclusion, among children hospitalized with LRTI, an older age (6-10 years), being female, and the presence of empyema are significant risk factors for the development of hyponatremia. In such children, serum electrolytes should be regularly measured to prevent adverse clinical outcomes.Chinmaya MahapatraVinod Kumar SharmaSiddhant SinghalRoshan Kumar JangidTagaram Karthik LaxminathGalenos Yayineviarticlebronchopneumoniaelectrolytehyponatremialower respiratory tract infectionMedicineRPediatricsRJ1-570ENTRJournal of Pediatric Research, Vol 8, Iss 4, Pp 479-484 (2021)
institution	DOAJ
collection	DOAJ
language	EN TR
topic	bronchopneumonia electrolyte hyponatremia lower respiratory tract infection Medicine R Pediatrics RJ1-570
spellingShingle	bronchopneumonia electrolyte hyponatremia lower respiratory tract infection Medicine R Pediatrics RJ1-570 Chinmaya Mahapatra Vinod Kumar Sharma Siddhant Singhal Roshan Kumar Jangid Tagaram Karthik Laxminath Risk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)
description	Aim:Lower respiratory tract infection (LRTI) is a serious illness especially in children under 5 years of age. Hyponatremia is the most common electrolyte abnormality seen in hospitalized children. This study aimed to evaluate the correlation between hyponatremia in children admitted to a paediatric ward, in the setting of acute LRTI in different age groups and to determine the association of hyponatremia with different types of acute LRTI in children.Materials and Methods:This study included 231 clinically diagnosed children (1 month to 12 years) with acute LRTI. General examinations and systemic examinations were performed. Laboratory investigations included serum electrolyte level (Na+) and radiological investigations included chest X-ray. The conditions observed in the children included bronchopneumonia (BPN), lobar pneumonia, wheeze-associated LRTI (WALRI), bronchiolitis, and empyema. Statistical analysis was carried out using SPSS 16.0 version. A p-value <0.05 was considered statistically significant.Results:Out of 231 cases, hyponatremia was present in 136 cases (58.9%). Mild, moderate, and severe hyponatremia were present in 83.8%, 13.2%, and 2.9% patients, respectively. Most of the patients with BPN had mild hyponatremia (89%). The prevalence of hyponatremia was significantly higher in children aged 6-10 years [odds ratio (OD)=4.29, 95% confidence interval (CI)=0.90-20.45, p<0.05], females (OR=0.56, 95% CI=0.32-0.96, p=0.03) and cases of empyema (OR=4.49, 95% CI=1.48-13.60, p=0.008).Conclusion:In conclusion, among children hospitalized with LRTI, an older age (6-10 years), being female, and the presence of empyema are significant risk factors for the development of hyponatremia. In such children, serum electrolytes should be regularly measured to prevent adverse clinical outcomes.
format	article
author	Chinmaya Mahapatra Vinod Kumar Sharma Siddhant Singhal Roshan Kumar Jangid Tagaram Karthik Laxminath
author_facet	Chinmaya Mahapatra Vinod Kumar Sharma Siddhant Singhal Roshan Kumar Jangid Tagaram Karthik Laxminath
author_sort	Chinmaya Mahapatra
title	Risk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)
title_short	Risk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)
title_full	Risk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)
title_fullStr	Risk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)
title_full_unstemmed	Risk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)
title_sort	risk factors of hyponatremia in children with lower respiratory tract infection (lrti)
publisher	Galenos Yayinevi
publishDate	2021
url	https://doaj.org/article/8bd120a1fd7441a3b794167c6914e65e
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Risk Factors of Hyponatremia in Children with Lower Respiratory Tract Infection (LRTI)

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