Incidence and Severity of Community- and Hospital-Acquired Hyponatremia in Pediatrics

Hyponatremia is the most common electrolyte disturbance in hospitalized children, with a reported incidence of 15-30%, but its overall incidence and severity are not well known. The objective of our study was to determine the incidence, severity, and associated risk factors of community- and hospita...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical medicine 2022-12, Vol.11 (24), p.7522
Main Authors: Rius-Peris, J M, Tambe, P, Chilet Sáez, M, Requena, M, Prada, E, Mateo, J
Format: Article
Language:English
Subjects:
Age
Clinical medicine
Data mining
Edema
Hospitalization
Hospitals
Hyponatremia
Information systems
Laboratories
Mortality
Patients
Pediatrics
Plasma
Sodium
Variables
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Hyponatremia is the most common electrolyte disturbance in hospitalized children, with a reported incidence of 15-30%, but its overall incidence and severity are not well known. The objective of our study was to determine the incidence, severity, and associated risk factors of community- and hospital-acquired hyponatremia on a general pediatric ward. Data of 5550 children admitted from June 2012 to December 2019 on plasma sodium and discharge diagnosis were analyzed by logistic regression model. Clinically relevant diagnostic groups were created. Hyponatremia was classified as mild, moderate, and severe. The incidence of community- and hospital-acquired hyponatremia was 15.8% and 1.4%, respectively. Most of the cases were mild (90.8%) to moderate (8.6%), with only two cases of severe community-acquired hyponatremia. There were no clinical complications in any of the hyponatremic children. Age and diagnosis at discharge were principal factors significantly correlated with hyponatremia. Community-acquired hyponatremia is more common than hospital-acquired hyponatremia in clinical practice. Severe cases of both types are rare. Children from 2 to 11 years of age presenting with infections, cardiovascular disorders, and gastrointestinal disorders are at risk of developing hyponatremia.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11247522