The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis
Issued Date
2024-01-01
Resource Type
ISSN
13288067
eISSN
1442200X
Scopus ID
2-s2.0-85199967562
Journal Title
Pediatrics International
Volume
66
Issue
1
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SCOPUS
Bibliographic Citation
Pediatrics International Vol.66 No.1 (2024)
Suggested Citation
Chaiyapak T., Sommai K., Banluetanyalak P., Sumboonnanonda A., Pattaragarn A., Piyaphanee N., Lomjansook K., Thunsiribuddhichai Y., Supavekin S. The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis. Pediatrics International Vol.66 No.1 (2024). doi:10.1111/ped.15792 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/100252
Title
The incidence and factors associated with dysnatremia in children with acute gastritis/gastroenteritis
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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.