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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1992-4-17
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pubmed:abstractText |
To determine the frequency, causes, and clinical significance of hyponatremia in hospitalized children, we reviewed the clinical and laboratory data of all hyponatremic children in Texas Children's Hospital over a 12-month period. One hundred sixty-one patients from among 11,702 hospital admissions were found to have hyponatremia, defined as serum sodium value of less than 130 mEq/L, an overall frequency of 1.38%. Sixty-nine patients (43%) had hyponatremia on admission, and 92 patients (57%) had hospital-acquired hyponatremia. Thirty-seven (23%) were previously healthy children, and 124 (77%) had chronic illnesses. Acute gastroenteritis was the leading cause of hyponatremia present on admission, and diuretic therapy was the leading cause of hospital-acquired hyponatremia. Only four patients (2.5%) had a serum sodium concentration of less than 120 mEq/L. Six patients (3.7%) had neurologic impairment on discharge, and 19 patients (12%) ultimately died long after their hyponatremia was corrected. Each patient who had neurologic sequelae and each patient who died had underlying medical conditions which could explain their morbidity and/or mortality. The prognosis appears to be more clearly related to the underlying medical disorder rather than to the hyponatremic state or its correction.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0009-9228
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
153-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1547587-Adolescent,
pubmed-meshheading:1547587-Child,
pubmed-meshheading:1547587-Child, Hospitalized,
pubmed-meshheading:1547587-Child, Preschool,
pubmed-meshheading:1547587-Chronic Disease,
pubmed-meshheading:1547587-Diuretics,
pubmed-meshheading:1547587-Edema,
pubmed-meshheading:1547587-Female,
pubmed-meshheading:1547587-Gastroenteritis,
pubmed-meshheading:1547587-Humans,
pubmed-meshheading:1547587-Hyponatremia,
pubmed-meshheading:1547587-Infant,
pubmed-meshheading:1547587-Isotonic Solutions,
pubmed-meshheading:1547587-Male,
pubmed-meshheading:1547587-Retrospective Studies,
pubmed-meshheading:1547587-Sodium,
pubmed-meshheading:1547587-Sodium Chloride,
pubmed-meshheading:1547587-Texas
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pubmed:year |
1992
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pubmed:articleTitle |
Hyponatremia in hospitalized children.
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pubmed:affiliation |
Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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