THE PREVALENCE OF DYSELECTROLYTEMIA AND ITS EFFECT ON MORTALITY AMONG CRITICALLY ILL CHILDREN | ||
| Al-Azhar Journal of Pediatrics | ||
| Article 10, Volume 26, Issue 4, October 2023, Pages 3721-3732 PDF (178.9 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/azjp.2023.325930 | ||
| Abstract | ||
| Background: To determine the prevalence and outcome of electrolyte imbalance in critically ill children admitted in Pediatric Intensive Care Unit (PICU) of Fayoum university hospital. Methods: this observational study included 100 children between one month and 14 years admitted in Fayoum university hospital PICU between March and November 2019. Blood samples were drawn to determine sodium, potassium, and magnesium excluding children who received electrolyte solutions within the last 24 hours. Results: A total of 100 children were included in this study. Electrolyte disturbance was present in 65 patients (65%). Hyponatremia was the most common electrolyte abnormality, seen in nearly half of the patients 49 case (49%) while hypernatremia was present only in 4 cases. Percentage of hypomagnesaemia children was 3% and hypermagnesemia was 40%. hypokalemia was present in 18 patients (18%) and hyperkalemia in 10% patients. The majority of patients (88%) were discharged and 12% died. Electrolyte imbalance was seen in 10 out of 12 deaths of the studied patients. According to receiver operating characteristic curve for mortality between serum Magnesium, potassium and sodium show prediction of mortality of sodium is more than that of potassium more than that for magnesium as area under the curve of serum sodium is (0.725) while potassium is (0-.643) and magnesium is (0.598). Conclusions: Dyselectrolytemia is a common problem in pediatric patients admitted to PICU. Mortality was higher in patients with hyponatremia and it is more predictive of mortality than serum magnesium and potassium. | ||
| Keywords | ||
| Keywords: sodium; potassium; magnesium; mortality; pediatric intensive care unit | ||
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