The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis
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2024
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| author | Thanaporn Chaiyapak Kanokwan Sommai Pantira Banluetanyalak Achra Sumboonnanonda Anirut Pattaragarn Nuntawan Piyaphanee Kraisoon Lomjansook Yarnarin Thunsiribuddhichai Suroj Supavekin |
| author_facet | Thanaporn Chaiyapak Kanokwan Sommai Pantira Banluetanyalak Achra Sumboonnanonda Anirut Pattaragarn Nuntawan Piyaphanee Kraisoon Lomjansook Yarnarin Thunsiribuddhichai Suroj Supavekin Thanaporn Chaiyapak Kanokwan Sommai Pantira Banluetanyalak Achra Sumboonnanonda Anirut Pattaragarn Nuntawan Piyaphanee Kraisoon Lomjansook Yarnarin Thunsiribuddhichai Suroj Supavekin |
| collection | Wiley Open Access |
| contents | The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis Thanaporn Chaiyapak Kanokwan Sommai Pantira Banluetanyalak Achra Sumboonnanonda Anirut Pattaragarn Nuntawan Piyaphanee Kraisoon Lomjansook Yarnarin Thunsiribuddhichai Suroj Supavekin Pediatrics International Abstract Background The incidence of dysnatremia in children with acute gastritis/gastroenteritis varies, and factors associated with either dysnatremia or hyponatremia at presentation have not been identified clearly. Methods This retrospective study included patients aged 1 month to 18 years hospitalized for community‐acquired acute gastritis/gastroenteritis from January to October 2016. Factors associated with dysnatremia at presentation were identified using multivariable analysis. Results Among the 304 children included, the median age was 2.2 (1.0, 4.2) years. The incidence of dysnatremia at presentation was 17.1% (hyponatremia 15.8%; hypernatremia 1.3%). Patients who had moderate ( p = 0.03) and severe dehydration ( p = 0.04) and presented with vomiting and diarrhea simultaneously ( p = 0.03) were associated with dysnatremia at presentation. Patients presented with vomiting and diarrhea simultaneously was associated with hyponatremia at presentation ( p = 0.02). Conclusions Dysnatremia was common in children with acute gastritis/gastroenteritis. Moderate to severe dehydration and the presence of vomiting and diarrhea simultanously were significantly associated with dysnatremia at presentation. Furthermore, presenting with vomiting and diarrhea silmutaneously was associated with hyponatremia at presentation. Serum electrolytes should be monitored in patients with those conditions. 10.1111/ped.15792 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/ped.15792 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ped_15792 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis Thanaporn Chaiyapak Kanokwan Sommai Pantira Banluetanyalak Achra Sumboonnanonda Anirut Pattaragarn Nuntawan Piyaphanee Kraisoon Lomjansook Yarnarin Thunsiribuddhichai Suroj Supavekin Pediatrics International The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis Thanaporn Chaiyapak Kanokwan Sommai Pantira Banluetanyalak Achra Sumboonnanonda Anirut Pattaragarn Nuntawan Piyaphanee Kraisoon Lomjansook Yarnarin Thunsiribuddhichai Suroj Supavekin Pediatrics International Abstract Background The incidence of dysnatremia in children with acute gastritis/gastroenteritis varies, and factors associated with either dysnatremia or hyponatremia at presentation have not been identified clearly. Methods This retrospective study included patients aged 1 month to 18 years hospitalized for community‐acquired acute gastritis/gastroenteritis from January to October 2016. Factors associated with dysnatremia at presentation were identified using multivariable analysis. Results Among the 304 children included, the median age was 2.2 (1.0, 4.2) years. The incidence of dysnatremia at presentation was 17.1% (hyponatremia 15.8%; hypernatremia 1.3%). Patients who had moderate ( p = 0.03) and severe dehydration ( p = 0.04) and presented with vomiting and diarrhea simultaneously ( p = 0.03) were associated with dysnatremia at presentation. Patients presented with vomiting and diarrhea simultaneously was associated with hyponatremia at presentation ( p = 0.02). Conclusions Dysnatremia was common in children with acute gastritis/gastroenteritis. Moderate to severe dehydration and the presence of vomiting and diarrhea simultanously were significantly associated with dysnatremia at presentation. Furthermore, presenting with vomiting and diarrhea silmutaneously was associated with hyponatremia at presentation. Serum electrolytes should be monitored in patients with those conditions. 10.1111/ped.15792 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis |
| topic | Pediatrics International |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ped.15792 |