Role of Hyponatremia in Prediction of Outcome in Children with Severe Lower Respiratory Tract Infections | ||
| Benha Medical Journal | ||
| Article 28, Volume 42, Issue 1, January 2025, Pages 293-302 PDF (607.76 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2024.316276.2182 | ||
| Authors | ||
| Ahmad Ata Sobeih1; Osama Abo Elfetoh Elfiky2; Mohamed Adel Abd Elalim* 3; Rasha Mohammed Zakaria4 | ||
| 1Associate Professor of Pediatrics, Faculty of Medicine, Benha University, Egypt | ||
| 2Professor of Pediatrics, Faculty of Medicine, Benha University, Egypt | ||
| 3Pediatrics department, Faculty of Medicine, Benha University, Egypt | ||
| 4Lecturer of Pediatrics, Faculty of Medicine, Benha University, Egypt | ||
| Abstract | ||
| Background: Lower respiratory infection (LRTI) is one of the serious illnesses, especially in less than 5 year of age group requiring hospitalization and contributes to 30%of deaths yearly worldwide mainly due to pneumonia as the leading cause. Aim This study aimed to find the association of hyponatremia (serum sodium less than 135 mEq/L) with severe LRTI. Methods: This cross-sectional study was conducted on 100 children admitted to PICU with severe LRTI included bronchopneumonia (BPN), lobar pneumonia, bronchiolitis, and empyema , all children were subjected to full history taking, complete clinical examination and investigations as complete blood count, arterial blood gases, C-reactive protein, potassium and sodium levels and radiological investigations as chest X-ray and chest CT . The conditions were assessed by PRESS score. Results: Most cases had normal sodium (63%), 3% had severe hypernatremia, 10% had moderate hyponatremia, 19% had mild hyponatremia, and 5% had hypernatremia. Children with hyponatremia had statistically higher frequencies of MV, mortality and statistically longer duration of oxygen support and hospital stay. At sodium level | ||
| Keywords | ||
| Hyponatremia; Outcome; Severe; Lower Respiratory Tract Infections | ||
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