Role of Hyponatremia in Prediction of Outcome in Children with Severe Lower Respiratory Tract Infections

Document Type : Original Article

Authors

1 Associate Professor of Pediatrics, Faculty of Medicine, Benha University, Egypt

2 Professor of Pediatrics, Faculty of Medicine, Benha University, Egypt

3 Pediatrics department, Faculty of Medicine, Benha University, Egypt

4 Lecturer of Pediatrics, Faculty of Medicine, Benha University, Egypt

Abstract

Background: Lower respiratory infection (LRTI) is one of the serious illnesses, especially in less than 5 year of age group requiring hospitalization and contributes to 30%of deaths yearly worldwide mainly due to pneumonia as the leading cause.
Aim This study aimed to find the association of hyponatremia (serum sodium less than 135 mEq/L) with severe LRTI.
Methods: This cross-sectional study was conducted on 100 children admitted to PICU with severe LRTI included bronchopneumonia (BPN), lobar pneumonia, bronchiolitis, and empyema , all children were subjected to full history taking, complete clinical examination and investigations as complete blood count, arterial blood gases, C-reactive protein, potassium and sodium levels and radiological investigations as chest X-ray and chest CT . The conditions were assessed by PRESS score.
Results: Most cases had normal sodium (63%), 3% had severe hypernatremia, 10% had moderate hyponatremia, 19% had mild hyponatremia, and 5% had hypernatremia. Children with hyponatremia had statistically higher frequencies of MV, mortality and statistically longer duration of oxygen support and hospital stay. At sodium level

Keywords

Benha Medical Journal
Volume 42, Issue 1
January 2025
Pages 293-302

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