The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis.

IF 1 4区医学 Q3 PEDIATRICS Pediatrics International Pub Date : 2024-01-01 DOI:10.1111/ped.15792

Thanaporn Chaiyapak, Kanokwan Sommai, Pantira Banluetanyalak, Achra Sumboonnanonda, Anirut Pattaragarn, Nuntawan Piyaphanee, Kraisoon Lomjansook, Yarnarin Thunsiribuddhichai, Suroj Supavekin

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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.

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急性胃炎/肠胃炎患儿尿毒症的发生率及相关因素。

背景：急性胃炎/胃肠炎患儿的血钠障碍发生率各不相同，与发病时血钠障碍或低钠血症相关的因素尚未明确：这项回顾性研究纳入了2016年1月至10月因社区获得性急性胃炎/肠胃炎住院的1个月至18岁患者。通过多变量分析确定了发病时出现消化不良的相关因素：在纳入的304名儿童中，中位年龄为2.2（1.0，4.2）岁。发病时出现尿毒症的比例为 17.1%（低钠血症 15.8%；高钠血症 1.3%）。中度脱水（p = 0.03）和重度脱水（p = 0.04）以及同时出现呕吐和腹泻（p = 0.03）的患者在就诊时均伴有尿毒症。同时出现呕吐和腹泻的患者与发病时低钠血症有关（p = 0.02）：结论：急性胃炎/肠胃炎患儿常见尿毒症。中度至重度脱水以及同时出现呕吐和腹泻与发病时的低钠血症显著相关。此外，同时出现呕吐和腹泻也与发病时的低钠血症有关。有这些情况的患者应监测血清电解质。

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来源期刊

Pediatrics International 医学-小儿科

CiteScore

2.00

自引率

7.10%

发文量

519

审稿时长

12 months

期刊介绍： Publishing articles of scientific excellence in pediatrics and child health delivery, Pediatrics International aims to encourage those involved in the research, practice and delivery of child health to share their experiences, ideas and achievements. Formerly Acta Paediatrica Japonica, the change in name in 1999 to Pediatrics International, reflects the Journal''s international status both in readership and contributions (approximately 45% of articles published are from non-Japanese authors). The Editors continue their strong commitment to the sharing of scientific information for the benefit of children everywhere. Pediatrics International opens the door to all authors throughout the world. Manuscripts are judged by two experts solely upon the basis of their contribution of original data, original ideas and their presentation.