Children with mild hyponatremia at the emergency department are at higher risk of hospitalization

Mild hyponatremia is frequently encountered in the pediatric emergency department (PED). Although usually of little clinical concern, its prognostic meaning as a possible marker of more severe disease has not yet been well established. We retrospectively analyzed data from children and adolescents w...

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Bibliographic Details
Published in:BMC pediatrics 2023-06, Vol.23 (1), p.318-318, Article 318
Main Authors: Pintaldi, Stefano, Zago, Alessandro, Pizzolon, Carlo, Magni, Elena, Cozzi, Giorgio, Andrade, Stefanny, Barbi, Egidio, Amaddeo, Alessandro
Format: Article
Language:English
Subjects:
Adolescent
Analysis
Care and treatment
Child
Children
Diagnosis
Emergency service
Emergency Service, Hospital
Health aspects
Hospitalization
Hospitals
Humans
Hyponatremia
Hyponatremia - diagnosis
Hyponatremia - epidemiology
Hyponatremia - etiology
Male
Physiology, Pathological
Retrospective Studies
Sodium
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Summary:Mild hyponatremia is frequently encountered in the pediatric emergency department (PED). Although usually of little clinical concern, its prognostic meaning as a possible marker of more severe disease has not yet been well established. We retrospectively analyzed data from children and adolescents who performed a blood sample with plasmatic sodium measurement on admission to the PED of IRCCS "Burlo Garofolo" Pediatric Hospital in Trieste, Italy, in 2019. We compared the rate, length of admissions and laboratory characteristics of patients with hyponatremia to those with normal sodium. Among 807 subjects, hyponatremia (sodium  5 days (aOR 1.99; 95%CI 1.03-3.85). When considering only subjects with mild hyponatremia, we found similar results. Hyponatremia and mild hyponatremia in the PED are associated with an increased admission rate and extended hospital stays. Mild hyponatremia should be considered a warning sign for a possibly more serious condition.
ISSN:1471-2431
1471-2431
DOI:10.1186/s12887-023-04109-8