Beta
ManageSearchChatDiscover
143889

The Pattern of Electrolyte Imbalance in Critically Ill Children admitted in Pediatric Emergency Unit at Sohag University Hospital

Article

Last updated: 03 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

-

Abstract

Background: Electrolyte abnormalities are one of the common medical problems that should be addressed well in hospitalized children. Electrolyte abnormalities could occur due to underlying illness or incorrect management with fluid input. Electrolyte disorders have a significant impact on patient outcomes; treating physicians usually pay attention to the underlying medical illness but preventable and manageable electrolyte disorders are often overlooked.
Objective: To identify the pattern of electrolyte imbalance in critically ill children in the pediatric emergency unit at Sohag University Hospital.
Patients and methods: We included 150 children aging from one year to 12 years age, presenting with manifestations suggesting electrolyte imbalance coming to the pediatric emergency unit at Sohag university hospital, the period from May 2018 to May 2019.
Results: Hypocalcaemia was the most common electrolyte imbalance accounted for (83.33 %) of studied cases, followed by hypokalemia accounted for 96 (64.00%) of studied cases, then hyponatremia accounted for 54 (36.00%) of studied children, then hypernatremia accounted for 31 (20.67%) of studied children, followed by hyperkalemia accounted for 23 (15.33%) of studied cases. According to our study, it was found that children with hypernatremia had an 8.9 times higher risk of dying, AOR 8.92, 95% CI, 2.26:35.24 than children with normal sodium levels. As regard to our study, we found that children with hyperkalemia had 8 times higher risk of death than children with normal potassium level (AOR=8.07, 95% CI, 1, 39-47, 00).
Conclusion: Electrolyte abnormalities are common in children admitted to the emergency with an underlying medical illness and contribute to significant morbidity and mortality. Preventive measures in high-risk patients and early treatment would decrease morbidity and mortality.

DOI

10.21608/ejhm.2021.143889

Keywords

Pattern of Electrolyte Imbalance, critically ill children

Authors

First Name

Safaa Hussein

Last Name

Ali

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Montasar Mohammed

Last Name

Mohammed

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Raafat Shawky

Last Name

Youssef

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

raafatyoussef77@yahoo.com

City

-

Orcid

-

Volume

82

Article Issue

2

Related Issue

20779

Issue Date

2021-01-01

Receive Date

2021-01-27

Publish Date

2021-01-01

Page Start

276

Page End

281

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 82_Issue 2_Pages 276-281.pdf

PDF . 391.8kB

Link

https://ejhm.journals.ekb.eg/article_143889.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=143889

Order

15

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Pattern of Electrolyte Imbalance in Critically Ill Children admitted in Pediatric Emergency Unit at Sohag University Hospital

Details

Type

Article

Created At

22 Jan 2023