Hiponatremia adquirida en el hospital: ¿influye el tipo de fluidoterapia en los niños ingresados a cuidados intensivos?
| العنوان: | Hiponatremia adquirida en el hospital: ¿influye el tipo de fluidoterapia en los niños ingresados a cuidados intensivos? |
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| المؤلفون: | Niki Oikonomopoulou, Alvaro Sanchez, Marina Benito, Andrés J. Alcaraz, Raquel Moya, Pilar de Paul Velasco |
| المصدر: | Revista chilena de pediatría v.89 n.1 2018 SciELO Chile CONICYT Chile instacron:CONICYT |
| بيانات النشر: | Sociedad Chilena de Pediatria, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, 03 medical and health sciences, 0302 clinical medicine, Hiponatremia, 0502 economics and business, Severity of illness, medicine, tolerancia acceso venoso, Pediatric intensive care unit, cuidados intensivos pediátricos, fluidoterapia intravenosa, business.industry, Incidence (epidemiology), 05 social sciences, 030208 emergency & critical care medicine, Retrospective cohort study, medicine.disease, Cardiac surgery, hipercloremia, Anesthesia, Pediatrics, Perinatology and Child Health, 050211 marketing, Isotonic Solutions, Hypernatremia, Hyponatremia, business |
| الوصف: | Introduction: The objective of this study was to evaluate the association between the type of initial fluid therapy used (isotonic or hypotonic solutions) and the development of hyponatremia, the plasma chlorine values and the tolerance of venous access. Patients and Method: Retrospective cohort study in a Pediatric Intensive Care Unit (PICU) of a high complexity hospital. There were included children younger than 15 years old hospitalized during the first semester of 2010 and 2013 who received intravenous maintenance fluid therapy, excluding patients undergoing cardiac surgery, kidney transplant and admissions that lasted less than 24 hours. Epidemiological, comorbidity and admission related data were collected, including type of solution received, sodium and chlorine values in the first 72 hours of hospitalization and the incidence of extravasation of peripheral intravenous lines. Results: 111 children were included; 68 children (61.3%) were treated with hypotonic solutions and 43 (38.7%) with isotonic solutions. There were no differences in pathology and severity, and also in the volume of fluid received. Among the patients who received hypotonic solutions, 28 (41.2%) developed hyponatremia, wich was moderate (Na |
| وصف الملف: | text/html |
| تدمد: | 0370-4106 |
| DOI: | 10.4067/s0370-41062018000100042 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d4e1aae3dcdb287dd22a03f240f0ab67 https://doi.org/10.4067/s0370-41062018000100042 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d4e1aae3dcdb287dd22a03f240f0ab67 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 03704106 |
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| DOI: | 10.4067/s0370-41062018000100042 |