Incidence and Outcome of Severe Hyponatremia in Children and Young Adults A Single Institution Experience

Journal Title: Sultan Qaboos University Medical Journal - Year 2006, Vol 6, Issue 1

Abstract

Objective: Our two main objectives are to assess the incidence and the outcome of severe hyponatremia in young hospitalized patients. Method: We retrospectively reviewed the incidence and outcome of severe hyponatremiac (Na <25 mmol/l) inpatients less than 8 years of age, admitted as consecutive admissions during one calender year. Psuedohyponatremia and artifactual hyponatremia were excluded. Patients’ demographics, clinical features, laboratory, treatment and outcomes were recorded. Results: Of 356 admissions of patients less than 8 years of age, 20 developed severe hyponatremia. Nausea, vomiting, irritability, clouded sensorium and seizures were the most common symptoms and signs. Underlying central nervous system disease, pneumonia and malignancy were major co-morbid conditions. Te initial volume status was determined as hypervolemia (n=7), hypovolemia (n=7) and euvolemia (n=6). Iatrogenic (diuretics 5 and hypotonic fluids 7) hyponatremia accounted for 60% of all cases. Mortality was 20%. Conclusion: Patients receiving intravenous hypotonic fluids should be closely monitored for the development of hyponatremia. Te common etiology of hyponatremia in our studied cohort of patients is iatrogenic.

Authors and Affiliations

Zakia Al-Lamki| Department of Child Health, Sultan Qaboos University, College of Medicine and Health Sciences, P.O.Box 35, Al-Khod, Muscat 123, Sultanate of Oman, Mahfooz A Farooqui| Department of Child Health, Sultan Qaboos University, College of Medicine and Health Sciences, P.O.Box 35, Al-Khod, Muscat 123, Sultanate of Oman, Saeed Ahmed| Department of Child Health, Sultan Qaboos University, College of Medicine and Health Sciences, P.O.Box 35, Al-Khod, Muscat 123, Sultanate of Oman

Keywords

Related Articles

Uremic Leontiasis Ossea

Tree-dimensional reconstructions of the (A) facial features and (B) bones of a 23-year-old female with uremic leontiasis ossea based on non-contrast sinus computed tomography of the (C) mandible and (D) maxilla.

Atopy in Omani patients with asthma

Objectives: To determine the range of serum IgE in healthy subjects and in asthmatic patients in Oman and to assess the degree of atopy in the asthmatic patients. Method: Serum IgE and in vivo (the skin prick test) and...

Download PDF file
  • EP ID EP13677
  • DOI -
  • Views 327
  • Downloads 17

How To Cite

Zakia Al-Lamki, Mahfooz A Farooqui, Saeed Ahmed (2006). Incidence and Outcome of Severe Hyponatremia in Children and Young Adults A Single Institution Experience. Sultan Qaboos University Medical Journal, 6(1), 13-16. https://europub.co.uk/articles/-A-13677