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Hyponatremic Dehydration: an Analysis of 78 Cases

dc.authorscopusid 7101974609
dc.authorscopusid 7003543848
dc.authorscopusid 17341256100
dc.authorscopusid 6507182680
dc.authorscopusid 7006604555
dc.authorscopusid 8917488800
dc.authorscopusid 8917488800
dc.contributor.author Çaksen, H.
dc.contributor.author Odabaş, D.
dc.contributor.author Şar, A.
dc.contributor.author Çelebi, V.
dc.contributor.author Arslan, S.
dc.contributor.author Kuru, M.
dc.contributor.author Abuhandan, M.
dc.date.accessioned 2025-05-10T17:06:12Z
dc.date.available 2025-05-10T17:06:12Z
dc.date.issued 2001
dc.department T.C. Van Yüzüncü Yıl Üniversitesi en_US
dc.department-temp Çaksen H., Yüzüncü Yil University, Faculty of Medicine, Department of Pediatrics, Van, Turkey; Odabaş D., Department of Pediatrics, Yüzüncü Yil University, School of Medicine, Van, Turkey; Şar A., Department of Pediatrics, Yüzüncü Yil University, School of Medicine, Van, Turkey; Çelebi V., Department of Pediatrics, Yüzüncü Yil University, School of Medicine, Van, Turkey; Arslan S., Department of Pediatrics, Yüzüncü Yil University, School of Medicine, Van, Turkey; Kuru M., Department of Pediatrics, Yüzüncü Yil University, School of Medicine, Van, Turkey; Abuhandan M., Department of Pediatrics, Yüzüncü Yil University, School of Medicine, Van, Turkey en_US
dc.description.abstract Our purpose was to determine the frequency of convulsion in children with hyponatremic dehydration (HD). We also investigated whether or not there was a relationship between the severity of hyponatremia and the degrees of malnutrition in our region (Eastern Anatolia of Turkey) in where malnutrition is frequently observed. In this study, the clinical and laboratory findings of 78 patients with diarrhoea (acute, persistent or chronic diarrhoae) and HD were studied. When diarrhoea lasts longer than 2 and 4 weeks they were accepted as persistent and chronic diarrhoea, respectively. Patients were said to have HD if they had the clinical findings of dehydration associated with hyponatremia [Serum sodium (SNa) <130 mmol/L)]. Nutritional status of the children was assessed by the Gomez classification using weight for age; it was accepted as normal those were between 90%-110%, mild malnutrition 75%-89%, moderate malnutrition 60%-74% and severe malnutrition <60%. Of 78 patients, 40 were boys, 38 were girls. The age and weight of the patients ranged from 40 days to 36 months (8.94 ± 5.49 months) and from 2000 to 10300 g (5535.25 ± 1702.10 g) respectively. All patients except four had malnutrition; 15 (20.3%) had mild malnutrition, 30 (40.5%) had moderate malnutrition and 29 (39.2%) had severe malnutrition. Forty-seven patients had acute, 16 patients had persistent, and 15 patients had chronic diarrhoea. SNa levels were between 104 and 129 mmol/L (121.21 ± 6.12 mmol/L). There was not statistically a significant difference between SNa level and the degree of malnutrition, and SNa level and the types (acute, persistent or chronic) of diarrhoea (p > 0.05). Of 78 patients, 12 (15.3%) patients had convulsion, of whom eight had convulsion associated with fever. Convulsion was noted in nine (19.1%) and three (18.7%) patients with acute and persistent diarrhoea, respectively (p > 0.05). Also, we observed that when hyponatremia was severer, convulsions tended to be more occurring (p < 0.05). Five (6.4%) children died and all of them had severe malnutrition and septicemia. We determined that the frequency of convulsion in HD was 15.3% (12/78), and there was not a difference between the cases of acute, persistent and chronic diarrhoea for the frequency of convulsion. We also found a significant difference was not present between SNa level and the degree of malnutrition, and between SNa level and the types (acute, persistent or chronic) diarrhoea. However, we observed that when hyponatremia was severer, convulsions tended to be more occurring. en_US
dc.identifier.doi 10.1023/A:1019563222488
dc.identifier.endpage 448 en_US
dc.identifier.issn 0301-1623
dc.identifier.issue 3 en_US
dc.identifier.pmid 12230268
dc.identifier.scopus 2-s2.0-0035545315
dc.identifier.scopusquality Q2
dc.identifier.startpage 445 en_US
dc.identifier.uri https://doi.org/10.1023/A:1019563222488
dc.identifier.uri https://hdl.handle.net/20.500.14720/6348
dc.identifier.volume 33 en_US
dc.identifier.wosquality Q3
dc.language.iso en en_US
dc.relation.ispartof International Urology and Nephrology en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.subject Convulsion en_US
dc.subject Dehydration en_US
dc.subject Hyponatremia en_US
dc.subject Malnutrition en_US
dc.title Hyponatremic Dehydration: an Analysis of 78 Cases en_US
dc.type Article en_US

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