Correlation Between Serum Electrolytes And Clinical Outcome in Children Admitted To PICU
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Critical disorders such as severe burns, sepsis, brain damage and heart failure lead to fluid and electrolyte disturbances. A high suspicion, timely recognition and thorough understanding of common electrolyte abnormalities is necessary to ensure their corrections in critically ill children. Objective: to study the electrolyte abnormalities in PICU children and their association with clinical outcome. Materials And Methods: This was a hospital based prospective observational study conducted on 132 Pediatric Intensive Care Unit admitted children at Niloufer Hopsital, Hyderabad, Telangana. The children were investigated for serum electrolytes and arterial blood gas analysis. Results: Among the 132 children studied, 71 (53.79%) had electrolyte abnormalities, 26 (19.69%) had metabolic acidosis. In children with electrolyte abnormalities 29 (40.85%) had hyponatremia, 9 (12.68%) had hypernatremia, 13 (18.31%) had hyperkalemia, 8 (11.27%) had hypokalemia. Children with electrolyte abnormality had increased duration of stay in PICU with mean duration of 4.71 days. In this study, out of 13 deaths, 1 (7.69%) had no electrolyte abnormalities, whereas 12 (92.30%) were associated with electrolyte abnormalities, thus being statistically significant. Conclusion: Mortality in PICU is mainly linked to primary illness but abnormality of serum sodium and potassium remain significant predictors of mortality. Thus the present study recommends routine monitoring of serum electrolytes in PICU admitted patients.
Authors and Affiliations
Dr. C. Rukesh Chary, Dr. B. Shalini
Keywords
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- EP ID EP238891
- DOI 10.9790/0853-1611082427
- Views 173
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