ELECTROLYTE DISTURBANCES IN CRITICALLY ILL CHILDREN ADMITTED TO PAEDIATRIC TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 41
Abstract
BACKGROUND To study the incidence, aetiology and length of ICU stay in children admitted to Paediatric Intensive Care Unit with electrolyte disturbances. MATERIALS AND METHODS Descriptive prospective study in children aged 1 month to 12 years. RESULTS Incidence of hyponatraemia (< 135 mEq/L) was 16.8%, hypernatraemia (> 145 mEq/L) 4%, hypokalaemia (< 3.5 mEq/L) 11.9% and hyperkalaemia (> 5.5 mEq/L) 2% respectively; 01 month - 4 years age (41.2%) group of our study population emerged as a susceptible age group to electrolyte disturbances with mean age of 4.36 ± 4.10 yrs. Hyponatraemia occurred in 64.7% of boys, hypernatraemia occurred in 75% boys, hypokalaemia and hyperkalaemia in 50% boys. Spectrum of illness in hyponatraemia includes CNS disorders (52.9%), GI disorders (17.6%) and sepsis (11.8%). In hypernatraemia all four children were diagnosed to have CNS disorders. In hypokalaemia group CNS disorders, GI disorders, sepsis and renal disorders were responsible for 58.3%, 16.7%, 8.3% and 8.3% respectively. In hyperkalaemia group, CNS and GI disorders were responsible for 50% each. Mean Length of Stay (LOS) in hyponatraemia was 8.18 ± 7.65 days, hypernatraemia 10.50 ± 4.65 days, hypokalaemia 9.0 ± 8.56 days and hyperkalaemia 9.50 ± 7.78 days. Mortality was 1.9 times higher in children with hyponatraemia and 1.2 times higher in children with hypokalaemia compared to normal serum levels. CONCLUSION Disturbances in the serum sodium and potassium levels during the ICU stay predicted an increased length of hospital stay. Early detection through regular monitoring and early correction may help in improving the outcome.
Authors and Affiliations
Anirudh Reddy Paidy, Col. Rajeev Kumar Thapar, Brig. Rakesh Kumar Gupta
Keywords
Related Articles
- EP ID EP214020
- DOI 10.14260/Jemds/2017/708
- Views 86
- Downloads 0
STEROID-INDUCED DYSGLYCAEMIA DURING FIRST 48 HOURS OF STEROID THERAPY IN HOSPITALISED PATIENTS
BACKGROUND Glucocorticoid (GC) is crucial for glucose, lipid and protein metabolism and therefore for energy balance. GCs are used in treatment of chronic obstructive pulmonary disease (COPD) exacerbations, a clinical ma...
USE OF ECG AND OTHER CLINICAL VARIABLES FOR DETECTING PULMONARY HYPERTENSION IN COPD PATIENTS- A CROSS-SECTIONAL OBSERVATIONAL STUDY
BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) has emerged as a leading cause of mortality worldwide. Pulmonary Hypertension (PH) is a frequent complication associated with COPD and it is prevalent among 10% - 3...
COMBINED SPINAL EPIDURAL VERSUS EPIDURAL ANAESTHESIA IN MAJOR SURGERIES
BACKGROUND Combined spinal epidural anaesthesia is a comparatively recent innovation in the central neuraxial anaesthetic procedures. With proper patient and needle selection, we believe that CSEA may offer advantages ov...
APPENDICULAR MASS- A PROSPECTIVE AND COMPARATIVE STUDY
BACKGROUND Acute appendicitis remains the commonest cause of acute abdomen in teenagers requiring surgical intervention. Patients presenting late in the course of acute appendicitis are complicated by the development of...
IN SEARCH OF BEST PRESSURE FLOW CRITERIA TO DEFINE BLADDER OUTLET OBSTRUCTION IN INDIAN FEMALES
BACKGROUND Bladder outlet obstruction in females is increasingly being understood. However, caveats remain in defining clinical and urodynamic parameters to suggest BOO precisely. We compared urodynamic parameters of wom...