FREQUENCY OF HYPONATREMIA IN CHILDREN WITH BRONCHIOLITIS
Main Article Content
Keywords
Bronchiolitis, wheeze, sodium levels, hyponatremia.
Abstract
Bronchiolitis is a common condition in children, with hyponatremia (low sodium levels) frequently complicating bronchiolitis. This electrolyte imbalance, often linked to elevated anti-diuretic hormone levels, is associated with increased morbidity and mortality. It is commonly observed in hospitalized children with bronchiolitis, pneumonia, or cystic fibrosis exacerbations. To determine the frequency of hyponatremia in children with bronchiolitis at Ittefaq Hospital, Lahore. This cross-sectional study was conducted in the Department of Pediatrics, Ittefaq Hospital, Lahore, from January 24, 2019, to July 24, 2019. A total of 264 cases were included. Patients' demographic details, including age, gender, and contact information, were recorded. A 5cc blood sample was collected aseptically by the duty nurse and analyzed for sodium levels in the hospital laboratory. The presence of hyponatremia was determined based on operational criteria. All data were entered and analyzed using SPSS software. The mean age of participants was 13.01 ± 6.94 months (range: 1–24 months). Among the cases, 141 (53.4%) were male, and 123 (46.6%) were female. Hyponatremia was identified in 70 (26.5%) cases, while 194 (73.5%) had normal sodium levels. The study found that hyponatremia occurs in 26.5% of children with bronchiolitis, highlighting the need for sodium level correction alongside standard therapy to improve outcomes. Addressing this can lead to better prognoses.
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Dr Asia Shafiq
Consultant pediatrician, Pediatric department, Evercare hospital Lahore
Dr Adnan Nazar
Senior Medical Officer, Pediatric department Evercare hospital Lahore
Dr Anam Raheel
Peads Emergency Consultant, Child Life Foundation, Mayo Hospital, Lahore
Dr Rubaisha Shahab
General Practitioner, Al Kamal medical polyclinic, Abu Dhabi,
Dr Ayesha Rasool
Clinical development fellow, Gastroenterology department, Northcumbria Integrated Care
NHS Foundation Trust,
Dr Hassan Dad
Dr Greys Hospital, Emergency department Clinical fellow, NHS Foundation Trust,