J Pediatr Intensive Care 2019; 08(03): 130-137
DOI: 10.1055/s-0038-1676635
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Prevalence and Clinical Significance of Hyponatremia in Pediatric Intensive Care

Khouloud A. Al-Sofyani
1   Division of Pediatric Intensive Care, Department of Pediatrics, King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia
› Author Affiliations
Further Information

Publication History

25 May 2018

11 November 2018

Publication Date:
17 January 2019 (online)

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Abstract

A retrospective chart review was conducted to estimate the prevalence and severity level of hyponatremia on admission at the pediatric intensive care unit (PICU) in a Saudi tertiary hospital. Hyponatremia was highly prevalent (67.2%) and severe hyponatremia was frequent among patients with Pediatric Risk of Mortality score > 10%. Severe hyponatremia was also associated with increased length of stay (p = 0.04) and a trend of increased mortality (p = 0.054). However, disease severity was not an independent risk factor of mortality in PICU, but might confound other risk factors that render the children requiring prolonged hospital stay, mechanical ventilation, and increased health costs.