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Electrolyte imbalance in critically ill paediatric patients

OBJECTIVE: To determine the frequency and outcome of electrolyte imbalance in seriously ill children admitted in Paediatric Intensive Care Unit (PICU) of a public sector hospital in Karachi. METHODS: All children between the ages of one month to 12 years admitted in PICU from May 2017 to October 201...

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Autores principales: Naseem, Faizia, Saleem, Ayesha, Mahar, Imtiaz Ahmed, Arif, Fehmina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659045/
https://www.ncbi.nlm.nih.gov/pubmed/31372149
http://dx.doi.org/10.12669/pjms.35.4.286
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author Naseem, Faizia
Saleem, Ayesha
Mahar, Imtiaz Ahmed
Arif, Fehmina
author_facet Naseem, Faizia
Saleem, Ayesha
Mahar, Imtiaz Ahmed
Arif, Fehmina
author_sort Naseem, Faizia
collection PubMed
description OBJECTIVE: To determine the frequency and outcome of electrolyte imbalance in seriously ill children admitted in Paediatric Intensive Care Unit (PICU) of a public sector hospital in Karachi. METHODS: All children between the ages of one month to 12 years admitted in PICU from May 2017 to October 2017 were included. Blood samples were drawn to determine the baseline sodium, potassium, calcium, magnesium and phosphorous and followed 24 hourly or earlier, if needed (Those who had imbalance at admission or on subsequent repeat labs as per protocol). RESULTS: A total of 101 children were included in the study. Electrolyte imbalance was seen in 84%. A single electrolyte imbalance was noted in 30.58%. Hypocalcemia was the most frequent abnormality noted in 57.6%. Among the total expiries during the study period 91% had electrolyte imbalance. Mortality within 48 hours and duration of stay was also increased in these patients. CONCLUSION: Electrolyte imbalance is an important prognostic indicator in critically ill patients.
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spelling pubmed-66590452019-08-01 Electrolyte imbalance in critically ill paediatric patients Naseem, Faizia Saleem, Ayesha Mahar, Imtiaz Ahmed Arif, Fehmina Pak J Med Sci Original Article OBJECTIVE: To determine the frequency and outcome of electrolyte imbalance in seriously ill children admitted in Paediatric Intensive Care Unit (PICU) of a public sector hospital in Karachi. METHODS: All children between the ages of one month to 12 years admitted in PICU from May 2017 to October 2017 were included. Blood samples were drawn to determine the baseline sodium, potassium, calcium, magnesium and phosphorous and followed 24 hourly or earlier, if needed (Those who had imbalance at admission or on subsequent repeat labs as per protocol). RESULTS: A total of 101 children were included in the study. Electrolyte imbalance was seen in 84%. A single electrolyte imbalance was noted in 30.58%. Hypocalcemia was the most frequent abnormality noted in 57.6%. Among the total expiries during the study period 91% had electrolyte imbalance. Mortality within 48 hours and duration of stay was also increased in these patients. CONCLUSION: Electrolyte imbalance is an important prognostic indicator in critically ill patients. Professional Medical Publications 2019 /pmc/articles/PMC6659045/ /pubmed/31372149 http://dx.doi.org/10.12669/pjms.35.4.286 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Naseem, Faizia
Saleem, Ayesha
Mahar, Imtiaz Ahmed
Arif, Fehmina
Electrolyte imbalance in critically ill paediatric patients
title Electrolyte imbalance in critically ill paediatric patients
title_full Electrolyte imbalance in critically ill paediatric patients
title_fullStr Electrolyte imbalance in critically ill paediatric patients
title_full_unstemmed Electrolyte imbalance in critically ill paediatric patients
title_short Electrolyte imbalance in critically ill paediatric patients
title_sort electrolyte imbalance in critically ill paediatric patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659045/
https://www.ncbi.nlm.nih.gov/pubmed/31372149
http://dx.doi.org/10.12669/pjms.35.4.286
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