Frequency of Hyponatremia in Children Admitted with Pneumonia
DOI:
https://doi.org/10.70749/ijbr.v2i02.379Keywords:
Hyponatremia, Pneumonia, Pediatrics, Electrolyte Imbalance, Severity, Socioeconomic StatusAbstract
Objectives: The purpose of this study was to establish the prevalence of hyponatremia among children of 2 months to 5 years of age admitted at Ayub Teaching Hospital, Abbottabad, with pneumonia and factors related to it. Materials and Methods: An analytical cross-sectional study was conducted in the pediatric department on 135 children with pneumonia. The level of hyponatremia was determined by the patient’s serum sodium concentration <135mEq/L, moderate 131-134mEq/L, severe 126-130mEq/L, and severe 125mEq/L. The socio-demographic profile of the children, the severity of pneumonia, and data on socio-economic status were obtained. All statistical analyses were done using the statistical package SPSS. Results: In this study, 28% of the children had hyponatremia, 14% mild, 9% moderate, and 5% severe hyponatremia. In general, a higher incidence was reported in severe pneumonia (40%) among children 2-3 years old and low economic status. There were few differences between males and females. Conclusion: A recent study shows that hyponatremia is highly prevalent in childhood pneumonia and that the prevalence is related to illness severity, age, and socio-economic status. More awareness, earlier presentation, and proper management would significantly enhance the outlook.
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JAMIL, M., KHAN, A., FARAZ, M., BASIT, M., SHAHID, M., & GHAFFAR, N. K. S. Frequency of Hyponatremia in Children with Pneumonia. https://pjmhsonline.com/2021/feb/742.pdf
Natarajan, T., Sahubar Sadique, T. N., & Shanmugham, K. (2020). Incidence of hyponatremia and its utility as an indicator of morbidity in children hospitalised with community acquired pneumonia. International Journal of Contemporary Pediatrics, 7(3), 616. https://doi.org/10.18203/2349-3291.ijcp20200689
Rabha, J., & Dhungel, L. (2024). HYPONATREMIA IN CHILDREN OF 2 MONTHS TO 5 YEARS OF AGE WITH COMMUNITY ACQUIRED PNEUMONIA AND ITS CORRELATION WITH SEVERITY OF ILLNESS AND OUTCOME. Int J Acad Med Pharm, 6(3), 391-394. https://doi.org/ 10.47009/jamp.2024.6.3.80
Mishra, S. N., Roy, S., Pal, M., Ghosh, N., Patra, K. K., & Madhwani, K. P. (2024). Incidence of hyponatremia in children aged 1-5 years suffering from severe pneumonia, admitted in a tertiary care hospital. European Journal of Cardiovascular Medicine, 14(3).
Mehmood, Z., Saeed, F., Siddiqui, M. A., Rehman, F. U., Zahoor, F., & Iqtidar, A. (2020). Frequency of hyponatremia in community acquired pneumonia. The Professional Medical Journal, 27(08), 1546-1549. https://doi.org/10.29309/tpmj/2020.27.08.3567
Sharma, S., Yadav, R., Sharma, K., & Punj, A. (2020). A study of hyponatremia in cases of pneumonia in hospitalized children and its correlation with age and sex. IP International Journal of Medical Paediatrics and Oncology, 6(2), 61-64. https://doi.org/10.18231/j.ijmpo.2020.014
Çelik, T., Doğan, D., & Parlak, Ç. F. (2023). The prevalence and prognostic effect of hyponatremia in children with COVID-19 pneumonia: A retrospective study. The Turkish Journal of Pediatrics, 65(4), 572-582. https://doi.org/10.24953/turkjped.2022.1027
Zeeshan, F., Gull, T., Bari, A. and Bano, I., 2020. Hyponatremia in Children with Pneumonia and Its Association with Nutritional Status. Pak Pediatr J, 44(2), pp.120-24.
Rius-Peris, J. M., Tambe, P., Chilet Sáez, M. C., Requena, M., Prada, E., & Mateo, J. (2022). Incidence and severity of community- and hospital-acquired hyponatremia in pediatrics. Journal of Clinical Medicine, 11(24), 7522. https://doi.org/10.3390/jcm11247522
Zaheer, M., Azam, M. M., Shabir, M., Saeed, H., Touseef, A., & Azhar, Z. (2021). Low Sodium Levels in Children Affected with Community Acquired Pneumonia. https://doi.org/10.51273/esc21.2517115
Hamid, N., Shafique, M. F., ., Q., & Niaz, H. (2021). Hyponatremia as a prognostic indicator in lower respiratory tract infections in children admitted in paediatric intensive care unit. PAFMJ, 71(5), 1590-93. https://doi.org/10.51253/pafmj.v71i5.3477
Ata Sobeih, A., Abo Elfetoh Elfiky, O., Abd Elalim, M. A., & Mohammed Zakaria, R. (2024). Role of hyponatremia in prediction of outcome in children with severe lower respiratory tract infections. Benha Medical Journal. https://doi.org/10.21608/bmfj.2024.316276.2182
Salman Khan, Abdur Rehman, Muhammad Zubair, Moeen ul Haq, & Nisar Khan. (2022). Frequency of Hyponatraemia in Patients Admitted With Community Acquired Pneumonia in Medical Unit of Teaching Hospital. Pakistan Journal of Chest Medicine, 28(3), 291–295. https://doi.org/10.1996/pjcm.v28i3.807
Pintaldi, S., Zago, A., Pizzolon, C., Magni, E., Cozzi, G., Andrade, S., Barbi, E., & Amaddeo, A. (2022). Children with mild hyponatremia at the emergency department are at higher risk of more severe infections and hospitalization. https://doi.org/10.21203/rs.3.rs-2183856/v1
Berhanu, Y., Yusuf, T., Mohammed, A., Meseret, F., Demeke Habteyohans, B., Alemu, A., Tolosa, G., Keneni, M., Weldegebreal, F., & Desalew, A. (2023). Hyponatremia and its associated factors in children admitted to the pediatric intensive care unit in Eastern Ethiopia: A cross-sectional study. BMC Pediatrics, 23(1). https://doi.org/10.1186/s12887-023-04118-7
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