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Clinical Associations of Early Dysnatremias in Critically Ill Neonates and Infants Undergoing Cardiac Surgery
- Source :
- Pediatric cardiology. 38(1)
- Publication Year :
- 2016
-
Abstract
- Dysnatremias (DN) are common electrolyte disturbances in cardiac critical illness and are known risk factors for adverse outcomes in certain populations. Little information exists on DN in children with cardiac disease admitted to the cardiac intensive care unit (CICU) after undergoing cardiac surgery, either corrective or palliative. The aim was to determine the incidence and adverse outcomes associated with DN in neonates and infants undergoing cardiac surgery. Retrospective cohort and single center study performed at Children’s Hospital Colorado from May 2013 to May 2014, in children under 1 year old admitted to the CICU after undergoing surgery for congenital or acquired cardiac disease. 183 subjects were analyzed. Exclusions: subjects that demonstrated DN before surgery. Serum sodium levels were recorded for the first 72 h post-operatively. DN was present in 54% of the subjects (98/183): hypernatremia in 60 (33%), hyponatremia in 38 (21%). Multivariate analysis revealed that mild hypernatremia (146–150 mmol/dl) and moderate hypernatremia (151–155 mmol/dl) were associated with longer hospital length of stay (LOS, p
- Subjects :
- Male
medicine.medical_specialty
Colorado
Heart Diseases
Critical Illness
Population
030204 cardiovascular system & hematology
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Risk Factors
Medicine
Humans
Prospective Studies
Cardiac Surgical Procedures
education
Prospective cohort study
Diuretics
Retrospective Studies
education.field_of_study
Hypernatremia
business.industry
Incidence
Sodium
Infant, Newborn
Infant
030208 emergency & critical care medicine
Retrospective cohort study
Vascular surgery
Length of Stay
medicine.disease
Respiration, Artificial
Cardiac surgery
Intensive Care Units
Anesthesia
Pediatrics, Perinatology and Child Health
Coronary care unit
Female
Cardiology and Cardiovascular Medicine
business
Hyponatremia
Subjects
Details
- ISSN :
- 14321971
- Volume :
- 38
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Pediatric cardiology
- Accession number :
- edsair.doi.dedup.....2e86ec81b7eaa7847b54c0737dfa5b65